Rough Draft Quantitative Research Critique and Ethical Considerations

Rough Draft Quantitative Research Critique and Ethical Considerations ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Rough Draft Quantitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Rough Draft Quantitative Research Critique and Ethical Considerations Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide. nrs_433v_rs3_researchcritiqueguidelinespart_ii__1_.docx literatureevaluationtable__1_.docx Research Critique Guidelines – Part II Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses. Quantitative Studies Background 1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question. How do these two articles support the nurse practice issue you chose? 1. Discuss how these two articles will be used to answer your PICOT question. 2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question. Method of Study: 1. State the methods of the two articles you are comparing and describe how they are different. 2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method. Results of Study 1. Summarize the key findings of each study in one or two comprehensive paragraphs. 2. What are the implications of the two studies you chose in nursing practice? Outcomes Comparison 1. What are the anticipated outcomes for your PICOT question? 2. How do the outcomes of your chosen articles compare to your anticipated outcomes? © 2019. Grand Canyon University. All Rights Reserved. Literature Evaluation Table Student Name: Summary of Clinical Issue (200-250 words): Healthcare-associated infections (HAIs) have been a plague to the healthcare facilities for a long time. The HAIs have adversely impacted the healthcare facilities both in clinical and financial terms. Measures such as hand hygiene, as well as antimicrobial stewardship, influences the rate of HAIs. These factors are regarded as patient safety concerns. The Center for Disease Control (CDC) stated that 1 in each group of 25 patients will get infected by a type of HAI during their hospital stay. The CDC also affirms that one in 31 patients acquire at least one type of HAI (CDC, 2018). Moreover, treating these infections costs more than $9.8 billion to the healthcare industry. Awareness and preventive measures have contributed to the reduction of the acquisition of some HAIs. From 2008 to 2014, a “50% reduction of central line- linked bloodstream infections” in a survey involving 183 US hospitals was reported (Gupta et al., 2014). Despite the significant progress made on averting some types of healthcare-associated infections, much work is still to be done. Healthcare staff must be aware of the infections and how they spread in clinical settings. Patients in the Intensive Care Units are specifically vulnerable. Patients in the ICUs have increased risks of contracting any type of HAI. Developing nations also experience hospital-associated infection rates. Studies indicate that between 5-10% of hospitalizations result in HAIs in both Europe © 2019. Grand Canyon University. All Rights Reserved. and North America (Monegro & Regunath, 2018). Other areas like Asia, Sub-Saharan Africa, and Latin America have a high rate of 40%. Thus, healthcare staff must adhere to the strategies that focus on preventing HAI. PICOT Question: For patients in the Intensive Care Units and in medical centers (P), how does the application of specific strategies focused on preventing specific hospital-associated infections among healthcare workers(I), compared to not using them (C)reduce the rate of hospital-associated infections (O) during the hospitalization period (T)? Criteria Article 1 Article 2 Article 3 APA-Formatted Article Citation with Permalink Climo, M. W., Yokoe, D. S., Warren, D. K., Perl, T. M., Bolon, M., Herwaldt, L. A., … & Wong, E. S. (2013). Effect of daily chlorhexidine bathing on hospital-acquired infection. Rough Draft Quantitative Research Critique and Ethical Considerations New England Journal of Medicine, 368(6), 533-542. Ceballos, K., Waterman, K., Hulett, T., & Makic, M. B. F. (2013). Nurse-driven quality improvement interventions to reduce hospital-acquired infection in the NICU. Advances in Neonatal Care, 13(3), 154163. Vianna, P. G., Dale Jr, C. R., Simmons, S., Stibich, M., & Licitra, C. M. (2016). Impact of pulsed xenon ultraviolet light on hospital-acquired infection rates in a community hospital. American journal of infection control, 44(3), 299-303. Permalink: Permalink: https://nursing.ceconnection .com/ovidfiles/00149525ull/10.1056/nejmoa1113849 201306000-00004.pdf The article relates to the The article examines the PICOT since it suggests the impact of intervention Permalink: e/article/pii/S0196655315010640 How Does the Article Relate to 2 The article suggests the use of a specific intervention in ICUs to reduce HAIs. the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome Setting (Where did the study take place?) use of a specific strategy to reduce HAI. This is a quantitative study since it involved direct observation. strategies used in the ICUs to prevent HAIs. This is a quantitative study since it involved direct observation research. To evaluate the usefulness of bathing with chlorhexidine to reduce risks of MDRO acquisition and hospital-acquired blood infection among patients at high risk for healthcareassociated infections. What role can chlorhexidine play in mitigating hospital-acquired bloodstream infections? To eliminate HAIs by education and bundled intervention implementation in the neonatal ICUS. The rate of hospitalacquired bloodstream infection reduced. Use of chlorhexidine in bathing reduces the risk of hospital-acquired infection among patients in the ICU. The study involved hospitalized patients in six ICUs. This was a quantitative study since it involved the use of direct observation and objective data collection. To describe the impact of implementing a no-touch pulsed xenon ultraviolet disinfection system within the ICU and non-ICU setting of an acute care hospital in an attempt to identify significant changes in the rates of hospital-acquired Multi-Drug Resistance Organisms. How can nurses use bundled What role does enhance interventions to improve environmental disinfection play in patient outcomes? mitigating hospital-acquired Can implementation of infections? successful interventions and consistent practices improve patient outcomes? Reduction of infections All infections were reduced in the leads to cost savings and ICUs using the PX-UV technique. improved outcomes. The study took place in a neonatal ICU that has 50 beds. 3 The study was conducted at South Seminole Hospital in the US. Sample The study involved 7727 patients from six hospitals. The study sample involved 34 patients. Method The study involved active surveillance and testing. Nurses were instructed on proper methods for intervention before the study. They monitored patients for reactions and reported. ? Use of chlorhexidine reported a lower rate of infection compared with use of non-antimicrobial washcloth. ? Rate of hospitalacquired infections reduced. Data tracked was based on observed compliance frequency and also documented after completion. Neonates having central venous catheters and patients were involved in the project. ? Rough Draft Quantitative Research Critique and Ethical Considerations After bundle implementation, rate of infection reduced. ? Rates of infection among infants having central venous catheters reduced in every weight group. ? VAP incidence reduced after bundle implementation, which led to 72 fewer hospital days and $300,000 in cost savings. ? Creation of an environment that is transparent, discipline, and fosters nurse Key Findings of the Study Recommendatio ns of the Researcher ? It is essential to identify safe methods and efficient ones for preventing hospital- 4 The hospital institution had 126medical surgical beds and 80-bed psychiatric care unit whose rooms were the focus of study. The PX-UV disinfection system was used alongside the conventional methods in cleaning the study rooms. On-board data log allowed the team to identify rooms being disinfected at what time, and noted after completion. ? In the ICU, there was reduced infection rate. ? A total of 36 and 16 few infections compared to previous data was reported in the facility and ICU respectively. ? Enhanced environment mitigation plays a critical role in mitigating HAIs. associated infections. Criteria Article 5 Article 6 APA-Formatted Meddings, J., Rogers, M. Article Citation A., Krein, S. L., Fakih, M. with Permalink G., Olmsted, R. N., & Saint, S. (2014). Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ quality & safety, 23(4), 277289. Seibert, D. J., Speroni, K. G., Oh, K. M., DeVoe, M. C., & Jacobsen, K. H. (2014). Preventing transmission of MRSA: a qualitative study of health care workers’ attitudes and suggestions. American journal of infection control, 42(4), 405-411. Jackson, C., Lowton, K., & Griffiths, P. (2014). Infection prevention as “a show”: A qualitative study of nurses’ infection prevention behaviours. International journal of nursing studies, 51(3), 400-408. Permalink: m/content/qhc/23/4/277.full. pdf The article offers a prevention strategy to help reduce HAIs by involving patients in the process. Permalink: /article/S01966553(13)01324-2/fulltext The article offers insights on identification of barriers to recommended practices on safe clinical care among healthcare workers. How Does the Article Relate to the PICOT Question? Article 4 empowerment are crucial in solving problems and reducing HAIs. 5 Permalink: cience/article/abs/pii/S00207489 13002150?via%3Dihub It examines the importance of healthcare workers in controlling and preventing HAIs. Quantitative, Qualitative (How do you know?) Purpose Statement This is a qualitative study because it employs use of semi-structured interviews and exploration of patient experiences. To compare narratives from patients diagnosed with a bloodstream infection with those not diagnosed with infection. Research Question What are patients’ experiences with hospitalacquired infections? Outcome Several issues must get addressed to enhance quality care, patient safety and experience in regards to infection prevention. Most infected patients reported receiving poor communication throughout their hospital stay and little information concerning infections. It occurred in a hospital setting and at participants’ home. Setting (Where did the study take place?) This is a qualitative study since it involves use of semi-structured interviews. The study is qualitative as it explores nurses’ accounts of practice. To examine healthcare workers’ attitudes about MRSA, obstacles to prevention, and suggestions to prevent transmission in acute care settings. What significant roles do the healthcare workers play in the implementation and prevention of infections in acute care settings? Healthcare workers are open to taking action that leads to reduction of transmission of infections. They have a deep sense of responsibility to patients as well as others. Rough Draft Quantitative Research Critique and Ethical Considerations They also embraced professional responsibility. To understand and explain behaviors occurring in the healthcare settings and nursing practice from the perspectives of healthcare staff. It took place in an acute healthcare setting. It involved nurses working in an acute hospital setting. 6 How can nurses’ infection prevention behavior be explained? Infection prevention attitudes among nurses is well comprehended via a social lens theory. Nurses make decisions on their infection prevention behaviors, allowing deviation from policy. Sample Method The sample size was 20, held at the participants’ home and in hospitals. It took place between September and December. The study involved use of qualitative semi-structured interviews. Key Findings of the Study ? Most patients never received sufficient information concerning HAI. ? Most people in the public interviews believed that HAIs are acquired in the hospital. Recommendatio ns of the Researcher ? There is need to involve patients during development and evaluation of The study involved 26 acute healthcare workers: 3 support staff, 6 allied health professionals, 1 physician, and 16 RN. Used semi-structured interviews, which highlighted the way MRSA affects workers, obstacles and issues that healthcare workers face when in the isolation rooms. ? Most participants felt responsible for prevention of transmission and possessing knowledge for that purpose. ? Many participants reported challenges in following consistent safety practices. ? Identified barriers include equipment and environmental issues and patient care demands. ? Need to acknowledge all healthcare workers’ 7 The study involved 20 participants who were interviewed over a 14-month period. It involved use of in-depth interviews that explored nurses’ perceptions of risk and contamination as well as explanations for their behaviors and others. ? Nurses rationalize their behavior despite recognizing that it does not befit the recommended action making them regard their actions as correct. ? The nurses demonstrated knowledge on principles of infection procedures, but their behavior was different to what is expected. ? Nurses should reflect their experiences and actions to promote selfawareness. This systems change and information that will assist in improving patient experience. ? Views from patients should be well channeled in an organization. perceptions and attitudes. ? Removing of obstacles to constant guideline adherence for contact precautions as well as hand hygiene. ? There should be a multi-disciplinary education intervention for patients, visitors, and staff. 8 reflection will allow healthcare workers to express fears about infection before examining if their behavior meets policy requirements. References Centers for Disease Control and Prevention. (2018). HAI Data. Retrieved from Mehta, Y., Gupta, A., Todi, S., Myatra, S. N., Samaddar, D. P., Patil, V., … & Ramasubban, S. (2014). Guidelines for prevention of hospital acquired infections. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 18(3), 149. Monegro, A. F., & Regunath, H. (2018). Hospital acquired infections. In StatPearls [Internet]. StatPearls Publishing. 9 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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