NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
Grand Canyon University NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience-Step -By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
The introduction for the Grand Canyon University NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
After the introduction, move into the main part of the NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NRS 433 Rough Draft Quantitative Research Critique and Ethical Considerations Patience
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Quantitative Research Critique
Introduction
The inadequacy of nurses is a serious issue in the US, as it is in many other nations regarding healthcare. This issue is brought on by the steadily growing patient population and the rising nurse turnover rates. According to several authorities, a heavy workload in nursing in the US is causing stress and eventually significant nurse turnover. The issue poses serious difficulties for everyone involved in healthcare, including patients, nurses, and their relatives. Therefore, patients experience subpar care due to the high nurse attrition rate. Numerous research has been undertaken to comprehend and address this issue. This paper assesses the outcomes of two quantitative investigations on the effects of staffing levels on patient safety, infection control, and nurse and patient stress especially in the intensive care unit departments
There are many differences between nursing and medical practice problem as both health care disciplines has different approach towards looking at a patient problem. The goal of medical diagnosis process is to formulate a clinical judgment for the following reason: to identify or rule out a disease, to explain the findings and their likely causes to the patient, predict the disease’s course and modify its predicted course (Chiffi,D., Zanotto.R.2015). Medical providers rely on many diagnostic tests and procedures along with their assessments and clinical reasoning to develop the diagnosis. For example, the patient who presented with abdominal pain, nausea vomiting goes through the medical work up including blood work and diagnostic studies such as CAT scan towards the medical diagnosis of acute pancreatitis &alcohol withdrawal symptom. While the medical problems focus on patient’s clinical outcome, nursing diagnosis on this situation might be focused on patient as a whole. In this case, patient’s goal of care is based on nursing problem. Some of the problem /nursing diagnosis might be Intolerance to pain due to the pancreatitis or ineffective coping due to the loss of loved one. Nursing problem will guide nurses to approach clinical conditions of patients more holistically and provide support to not just the individual but the community.
PICOT question
In the ICU departments, do sufficient nurse workers (I) prevent the occurrence of medical errors, infections, and stress among patients and nurses themselves (O) within one year (T) compared to inadequate nurse workers (C)?
Population (P) – The target population is the patients in the ICU.
Intervention (I) – Sufficient nurse workers
Comparison (C) – Inadequate nurse workers.
Outcome (O) -Prevents infections, stress, and medical errors among the patients and nurses
Time (T) – The duration is one year.
Background of Studies
Fagerström et al. (2018) studied how nurses’ daily workloads relate to patients’ safety in 36 units from four hospitals in Finland, one of which was a tertiary acute care hospital while the other three were secondary acute care hospitals. The researchers used the studying of safety incidents through observation. Also, they based their investigation on collecting information from the reporting system in healthcare institutions. To compare the findings with regressions using the common patients/nurse measure, researchers employed the RAFAELA system to correlate various patient safety issues and patient mortality. Patient safety events and deaths served as the investigation’s preliminary result indicators. It reveals that the nurses’ workload increases the health risks among patients. However, a reduced workload reduces the health risks.
Intensive Care Unit (ICU) patient average nursing care hours are correlated with nursing care metrics in Nogueira et al. (2017). Between 2011 and 2013, the researchers carried out a transversal, descriptive study to gather information from the nursing staff’s daily schedule and the electronic records system. The data was then analysed using Generalized Linear Models. According to the study, providing patients more daily hours reduced the risk of pneumonia and phlebitis, two conditions linked to ventilator use. As a result, it is clear from the study that the number of nursing care hours directly influences patient outcomes, necessitating modification of nurse staffing levels.
Support
The relationship between nurses’ daily workloads and patients’ safety is described in Fagerström et al. (2018). It demonstrates that the workload of nurses raises patient health concerns. But a lighter burden lessens the health dangers. Similarly, Nogueira et al. (2017) examine the proportion of nurse care hours supplied to patient demands. The research also establishes that the length of nursing care impacts patients’ health outcomes. As a result, both studies support the PICOT question since they show a connection between the quality of nursing care and patient outcomes.
Method of Studies
Fagerström et al. (2018) used observational analysis of safety occurrences. Additionally, the researchers base their work on gathering data from the reporting system in healthcare facilities. They collected information from 36 units across four Finnish hospitals, including one that provided acute tertiary care and three others that provided secondary acute care. The RAFAELA system was used daily per standards, valid nursing severity inclusion criteria were measured using the PAONCIL method, and reliable nursing intensity data were expressed in terms of an annual reliability test conducted by parallel classifications. Units that had undergone significant organizational shifts over the preceding year were excluded from the procedure. The same goes for sensitive health information about patients and any information about the qualities of the nurses. In this instance, researchers conducted logistic regression analyses to assess the data and predict correlations between each kind of result and the daily level of nursing intensity per nurse concerning the presumed optimal level. The number of nurses employed in the surveyed ICU on a daily and monthly basis was reported by the researchers in Nogueira et al. (2017) based on the nursing staff’s daily schedule and the electronic records system. After that, the researchers used generalized linear models to examine it. Therefore, the two investigations were different in that Nogueira et al. (2017) used descriptive research to collect information from the electronic records system and the daily schedule of the nursing staff. In contrast, Fagerström et al. (2018) used observation.
Since the researcher may check the validity of the data collected, the observation approach is often accurate. Based on data collected daily, researchers in Fagerström et al. (2018) successfully analyzed the association between nurse workload and patient outcomes. They could apply tools that consider patient variables, including sex, age, and diagnosis. In addition, the study offers some data that suggests the classic nurse staffing indicator, the patients to nurses’ ratio, may partly fall short of adequately controlling for patient severity and casemix.
Additionally, researchers can rely on various tools to verify the phenomena in the observation method. Researchers in Fagerström et al. (2018) gathered nursing resources, patients’ nursing intensity, patient mortality, and patient safety issues daily, totalling 12 475 data points. Additionally, using uncorrected logistic regression models and models that took into account the impacts of the day of the week, holiday, and season, they were able to predict relationships between OPC/nurse and patient safety events or death. However, when utilizing the observational method, researchers might miss some instances that are being examined. Fagerström et al. (2018) study neglect to consider the potential impact of the experts’ patient-related direct time, skill mix, competency level, or job experience.
Using transverse, descriptive studies, researchers can describe, analyse, and record people’s behaviors such as emotions, responses, and attitudes. Researchers found that giving patients more daily hours reduced pneumonia and phlebitis, which are linked to ventilator use (Nogueira et al. (2017). However, this method is subject to biases. For instance, they could base conclusions about a person on the analysis of a larger group or conclude about a group of people based on one person. Nogueira et al. (2017) aim to circumvent this issue by focusing on a particular audience, 1,717 patients.
Results of Studies
According to Fagerström et al. (2018), the risk of patient mortality and other safety issues is enhanced by hospital nurses’ increased workload. The researchers found that if OPC/nurse was below the limit, a medical error mortality chance was nearly 25% lower. A workforce metric based on daily assessments of specific patient care needs and the necessary NWL (OPC/nurse) performed marginally better in predicting incidents and mortality rates than the conventional patient-to-nurse measure.
Nursing care hours affected patients’ health outcomes, according to Nogueira et al. (2017). Researchers found that extending the day for patients reduced their risk of developing pneumonia and phlebitis, two conditions linked to ventilator use.
Ethical Considerations
Fagerström et al. (2018) ensured that the study adheres to ethical standards and protects participants’ rights. It is necessary to obtain approval from the pertinent authorities. Hence, they sought approval from the chief administrative physicians of all four hospitals involved. However, it did not necessitate any additional ethical clearance, which complies with Finland’s regulatory framework for health research. Similarly, Nogueira et al. (2017) had approval from various organizations, including the University of São Paulo (EERP/USP) and the Research Ethics Committee of Ribeirão Preto College of Nurse. Consequently, the two studies were following the necessary laws and regulations.
Before starting their study, researchers must also get participants’ informed consent. Participants are told of the study’s goals, rights, potential advantages and dangers, and the methodology. The participants must next indicate their agreement to participate in the study by signing a consent form. However, informed consent was not used in either study because of the scope of the investigations. The type of approval used by Nogueira et al. (2017) did not require participant agreement. Fagerström et al. (2018) did not require patient agreement because their study incorporated observation and data collection from the reporting process in healthcare facilities.
Conclusion
Both Fagerström et al. (2018) and Nogueira et al. (2017) examine the relationship between the nature of nursing care and patient safety. Specifically, Fagerström et al. (2018) investigate the relationship between patient safety concerns and fatalities and the workload of each nurse. On the other hand, Nogueira et al. (2017) compare nurse care indicators with the number of nursing hours spent caring for patients in intensive care units. While Nogueira et al. (2017) utilized a transverse, descriptive study to gather data, researchers in Fagerström et al. (2018) used observation. Both investigations adhere to ethical norms because they have received the necessary authority’s approval. The two approaches were useful since they supported the study’s conclusions that staffing levels affect nurses’ and patients’ outcomes. However, they had some limitations that probably compromised the findings.
References
Fagerström, L., Kinnunen, M., & Saarela, J. (2018). Nursing workload, patient safety incidents and mortality: an observational study from Finland. BMJ Open, 8(4), e016367.
Nogueira, T. D. A., Menegueti, M. G., Perdoná, G. D. S. C., Auxiliadora-Martins, M., Fugulin, F. M. T., & Laus, A. M. (2017). Effect of nursing care hours on the outcomes of Intensive Care assistance. PloS one, 12(11), e0188241. https://doi.org/10.1371/journal.pone.0188241
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.
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.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
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Attachments
NRS-433V-RS3-ResearchCritiqueGuidelinesPa
Research Critique Guidelines – Part II
Quantitative Studies
Background
As noted above, nursing shortage is a critical issue that affects the safety and quality of care given to patients (Bittner & Bechtel, 2017). Nursing shortage is an issue that affects most of the healthcare organizations in America in the modern world. The American Association of Colleges of Nursing (AACN) reports that the shortage of nurses in the US is anticipated to rise in the next decade due to the aging of the Baby Boomers. The aging of the Baby Boomers will also imply the increased need for care demands, hence, overburdening the already burden healthcare system due to nursing shortage (Marć et al., 2019). Shortage of nurses in the US is also attributed to the low capacity of nursing schools that do not produce new nurses to meet the increasing demands (Sokhanvar et al., 2018).
Authors have explored the issue of shortage of nurses in their studies. One of the studies that examined the issue of nursing shortage is the one conducted by (Halter, Boiko, et al., 2017). Halter et al., (2017) identified in their study that nursing turnover is a critical factor contributing to the shortage of nurses being experienced in America today. As a result, the aim of their research was to investigate the determinants as well as consequences of staff turnover among adult nurses. The research question that guided their investigation was; what are the determinants and consequences of adult nursing staff turnover? Halter, Pelone et al., (2017) conducted another study to examine evidence-based interventions that can be used to address the issue of nursing shortage by reducing adult nursing turnover. The authors recognized the fact that nursing shortage is preventable by implementing practical interventions that aim at its contributing factors. Therefore, the research question that guided the authors was; what interventions can be embraced to reduce adult nursing turnover?
How do these two articles support the nurse practice issue you chose?
The articles by Halter, Pelone, et al. (2017) and Halter, Boiko, et al. (2017) answers the PICOT question for my project in a number of ways. Firstly, the article by Halter, Boiko, et al., (2017) answers the PICOT question by providing insights into the determinants of factors that contribute to shortage of nurses and its consequences. The information obtained from the article provides information about the severity and magnitude of the problem of nursing shortage, hence, increasing the need for the exploration of interventions to address the problem. The article by Halter, Pelone, et al., (2017) answers the PICOT question by providing evidence-based interventions that can be adopted to address the issue of nursing shortage. The article examines broad interventions that are applicable to health organizations in addressing the issue of nursing shortage. The article by Halter, Pelone, et al., (2017) provided interventions that are similar to those proposed in my PICOT question. The interventions include the adoption of teamwork approaches in nursing, effective leadership styles, preceptor-based programs, needs-based orientation programs, use of residency programs and expanding the training capacity of nursing education institutions. The two articles used previous studies with a mix of comparison groups comprising of nurses, nursing students, and healthcare leaders and managers. As a result, the comparison groups vary from those in my PICOT question.
Method of Study:
The studies by Halter, Pelone, et al., (2017) and Halter, Boiko, et al., (2017) were quantitative systematic reviews. The authors reviewed evidences from previous quantitative studies that examined the factors contributing to nursing shortage, including turnover by adult nurses. The quantitative systematic reviews that the authors performed are associated with a number of benefits as well as limitations. The benefits include the fact that they provide highly reliable and accurate data, addresses specific questions or hypothesis, and guides the identification of best practices in nursing. The method is however associated with limitations such as the lack of use of human subjects, using studies with bias, and presenting findings that may not be generalizable to a larger population.
Rough Draft Quantitative Research Critique and Ethical Considerations – Rubri
Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.Experimental research design is defined as “a type of quantitative research design that in highly controlled to study cause and effect with independent and dependent variables” (Helbig, 2018). Experimental research is very common in healthcare and helps lead evidence-based practice. An example of experimental research is the prevalence and prevention of central line associated blood stream infections (CLABSI). Experimental research design in the case of CLABSI focuses on the time frame from central line insertion to time of infection, factors that could have added to the risk for infection such as nonsterile insertion, loose dressing, lack of chlorhexidine gluconate patch, and other factors (Baier, et al., 2020). Many other examples of experimental research design are present within the healthcare field. Each day, another example of a potential research project comes to mind in order to increase the positivity of patient outcomes.
Non-experimental research “involves data collection of the study participants in their natural or real-world environments” (Chew, 2019). Non-experimental research uses observation skills and does not have controls like experimental research. In nonexperimental research, variables such as the independent variable are not present, and the researcher is unable to manipulate any part of the study. An example of non-experimental research design would be a survey related to which IV catheter is preferred by nurses. It is non-experimental because there is no control, and the study cannot be manipulated with in independent variable. The nurses simply give their answer and then the researcher can come to conclusions based on the answers. Non-experimental research is not as reliable as experimental research due to the lack of controls and quantitative backing behind the findings. Other examples of non-experimental research exist in the psychology field where researchers can observe correlations between factors but cannot manipulate any variables. For example, if the researcher is observing the presence of diagnosed white coat syndrome in a patient, they will simply observe how the patient reacts around medical professionals but will not be able to adjust any of the variables in the research.
References:
Baier, C., Linke, L., Eder, M., Schwab, F., Chaberny, I.F., & Vonberg, R.P. (2020) Incidence,risk factors and healthcare costs of central line associated nosocomial bloodstream infections in hematologic and oncologic patients. PLoS ONE 15 (1). https://doi.org/10.1371/journal.pone.0227772Chew B. H. (2019). Planning and Conducting Clinical Research: The Whole Process. Cureus, 11(2), e4112. https://doi.org/10.7759/cureus.4112
Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In GCU’s nursing research: Understanding methods for best practice. https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1
The two main types of quantitative research studies are experimental and non-experimental. For an effective investigation and high-quality data discoveries, the study design and technique the researcher should employ depends on the kind of research questions that the researcher aims to address. A scientific method is applied in experimental investigations to manipulate one or more control variables and assess the impact of the modification on the dependent variables (McNiff & Petrick, 2018). Non-experimental investigations, on the other hand, do not entail the manipulation of control variables.
Cross-sectional, correlational, and observational studies are examples of non-experimental research, whereas pre-experimental, quasi-experimental, and randomized control trials are experimental studies (Andrade, 2019). For example, a study on the prevalence and determinants of childhood obesity is a non-experimental study. An example of an experimental study would be determining the impact of an exercise program in preventing childhood obesity and applying the intervention in one group against a control group.
When manipulating the research variables is difficult or impossible, non-experimental research investigations must determine the causal relationship between two variables. Non-experimental studies are essential when the researchers cannot assign subjects at random to groups or conditions when the research is broad and exploratory, when there is little information available on research studies, when the research is on the non-causal relationship between variables, and when the study is about a causal relationship. Still, the researcher cannot manipulate an independent variable (Andrade, 2019). The control variables in the research do not change, and non-random selection is prominent.
To maintain high validity, experimental studies apply strict manipulation and control within the research design. Therefore, experimental studies are usually labor-intensive in comparison to non-experimental studies. As a result, the cost of conducting experimental studies is higher in most cases (McNiff & Petrick, 2018). In non-experimental studies, the researcher neither manipulates the control variables nor the environment or conditions. The researchers study the variables on the subjects as they naturally occur in their environment without manipulation.
References
Andrade, C. (2019). Describing research design. Indian journal of psychological medicine, 41(2), 201-202. https://doi.org/10.4103%2FIJPSYM.IJPSYM_66_19
McNiff P. & Petrick M. (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/3
Quantitative research plays an important role in the research process, providing crucial data and insights that can help support or refute a hypothesis. By measuring variables and controlling for confounders, quantitative studies can provide a great deal of information about cause and effect relationships. This is essential in understanding how the world works and can lead to new breakthroughs in fields such as medicine and nursing. The two quantitative studies considered in topic 1 include Article I: “Factors associated with progression to infection in methicillin-resistant Staphylococcus aureus-colonized, critically ill neonates” by Schuetz et al., (2021), and Article II: “Decreased incidence of methicillin-resistant Staphylococcus aureus bacteremia in intensive care units: a 10-year clinical, microbiological, and genotypic analysis in a tertiary hospital” by Kim et al., (2020). The purpose of this assignment is to analyze article I and II and to determine how they will be used to answer the PICOT question.
Quantitative Studies
Background
According to quantitative article I, the following are factors that are associated with a higher risk of progression to infection in methicillin-resistant Staphylococcus aureus (MRSA) colonization in critically ill neonates: presence of lococcus aureus on admission, gestational age <32 weeks, birth weight <1500 grams, mechanical ventilation for >7 days, total parenteral nutrition for >14 days, and broad-spectrum (Schuetz et al., 2021). The main problem in this article is the progression of methicillin-resistant Staphylococcus aureus-colonized among the critically ill neonates. Methicillin-resistant Staphylococcus aureus (MRSA) is a major problem in healthcare settings worldwide. Study I investigated factors associated with progression to MRSA infection in patients who were colonized with the bacterium. The risk factors for progression to infection among MRSA-colonized patients include being older than 65 years, having certain chronic diseases (e.g., diabetes, COPD, HIV/AIDS), having a history of IV drug use, and being admitted to the ICU.
The purpose of the study was to identify factors associated with progression to infection in methicillin-resistant Staphylococcus aureus (MRSA) carriers. The study population was composed of adults admitted to a long-term care facility who were either colonized or infected with MRSA. Another objective was to find out what causes symptomatic contamination in newborns with methicillin-resistant Staphylococcus aureus (MRSA) colonization in the neonatal intensive care unit (NICU) (Schuetz et al., 2021). The study found that patients who were younger, male, non-white, and had higher numbers of comorbidities were more likely to progress from colonization to infection. These findings are significant for nurses who care for patients with MRSA colonization. Overall, the study’s findings are significant to the nursing profession particularly when it come to the management of hospital acquired infections. The main research question from the article is: What are some of the factors that cause symptomatic contamination in newborns with methicillin-resistant Staphylococcus aureus (MRSA) colonization in the neonatal intensive care unit?
Quantitative study II looked at the decreased incidence of methicillin-resistant Staphylococcus aureus bacteremia in intensive care units. The purpose of this study was to investigate the effect of an intensive care unit (ICU) infection control program on the incidence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. The main research question for the study was: What are the effects of an intensive care unit (ICU) infection control program on the incidence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia?
The results of the study showed that the incidence of MRSA bacteremia decreased significantly following implementation of the ICU infection control program. The rate of decrease was greatest in the ICUs with the most comprehensive program. These findings suggest that implementation of an effective ICU infection control program can reduce the incidence of MRSA bacteremia. The main problem in the study was the increasing incidence of MRSA bacteremia in the intensive care units. The main objective of the study was to determine the impacts of intensive care unit (ICU) infection control program on the incidence of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. The article is significant to nursing because it provide strategies for the management of healthcare acquired infections in the intensive care units.
How the Two Articles Support the Nurse Practice Issue on Hospital Acquired Infection
The two articles analyze factors associated with progression to infection in methicillin-resistant Staphylococcus aureus-colonized among critically ill neonates and the application of Alcohol-based Nasal Decolonization and Chlorhexidine Bathing to Reduce Methicillin-resistant Staphylococcus. The findings on the above issues are critical in supporting the nurse practice issue on hospital acquired infections. The information provided in these two articles are critical in answering different aspects of the PICOT question. In other words, the two articles are essential in answering the PICOT question because they analyze the intervention that have been defined in the PICOT.
There is a great deal of variability in both the interventions and comparison groups used in research on the two articles. This can make it difficult to compare the findings of different studies directly. However, looking at the general trends across the two articles, there are some key similarities and differences between what is being done in each group. The intervention groups tend to receive more aggressive treatment for their infection. This may include things like more frequent and/or longer antibiotic administration, earlier transfer to isolation wards, and so on. The comparison groups received standard care for their infection, which may not be as intensive.
Methods of Study
For article I, case-control study design was used while article II was a cohort study where there was a follow-up. The main difference between case-control and cohort studies is that cohort studies follow people over time (a “follow-up”), whereas case-control studies select people who already have the disease or outcome of interest (the “cases”) and compare them with a group of people who do not have the disease or outcome of interest (the “controls”). Cohort studies are thought to be more accurate because they measure exposures/outcomes in real life as they happen. Case-control studies are often limited by recall bias, where cases may remember things differently than controls.
The main benefit of case-control study design is that it is much less expensive and time consuming than other types of epidemiological studies, such as cohort studies. A limitation of case-control study design is that it can be difficult to determine causation because it is retrospective in nature. Cohort studies are a type of observational study, which means that researchers observe what people do (in this case, who contracts a particular disease) and try to identify patterns (Wang & Kattan, 2020). This type of study is useful because it can track a large number of people for many years, which allows researchers to identify risk factors for diseases. A limitation of cohort studies is that they cannot prove causation; they can only show correlation.
Results of Study
According to study I, the following factors are associated with progression to infection in methicillin-resistant Staphylococcus aureus (MRSA) – colonized, critically ill neonates: – gestational age <37 weeks, – birth weight <1,500 grams, – mechanical ventilation for >48 hours, – history of MRSA colonization or infection, – receipt of total parenteral nutrition (TPN) for >14 days, – concurrent diagnosis of necrotizing enterocolitis (NEC) or sepsis (Schuetz et al., 2021). Also, from the study, critically ill neonates were found to have a significantly higher risk of progression to infection than those who were not colonized by the bacteria.
Study II showed that the incidence of MRSA bacteremia decreased significantly following implementation of the ICU infection control program. The rate of decrease was greatest in the ICUs with the most comprehensive program (Kim et al., 2020). These findings suggest that implementation of an effective ICU infection control program can reduce the incidence of MRSA bacteremia.
The two studies on nursing practice provide valuable information on the use of alcohol-based nasal decolonization to prevent infection in methicillin-resistant Staphylococcus aureus (MRSA) -colonized patients. The two studies are critical in enhancing quality nursing practices and healthcare delivery processes.
Outcomes Comparison
The anticipated outcome of the PICOT question is that chlorhexidine baths can reduce the risk of acquiring methicillin-resistant Staphylococcus aureus (MRSA) in critically ill patients. A number of studies have shown that chlorhexidine baths are associated with a reduction in MRSA acquisition, and although the exact mechanism by which this occurs is unclear, it is thought that chlorhexidine may potentiate the effects of antibiotics and/or directly inhibit the growth of bacteria (Kim et al., 2020). In addition, chlorhexidine baths appear to be well tolerated by patients and are associated with few side effects. The outcomes of the two quantitative articles are comparable to the anticipated outcomes. The two articles concluded that chlorhexidine has a broad-spectrum of antibacterial activity and is effective against both gram-positive and gram-negative bacteria. It is also highly effective against MRSA, making it an ideal agent for use in preventing hospital-acquired infections.
Conclusion
There is some evidence that suggests daily chlorhexidine baths may help prevent the acquisition of methicillin-resistant Staphylococcus aureus (MRSA) in critically ill patients. However, more research is needed to determine whether or not this is truly the case. Chlorhexidine has a broad-spectrum of antibacterial activity and is effective against both gram-positive and gram-negative bacteria. It is also highly effective against MRSA, making it an ideal agent for use in preventing hospital-acquired infections. The two articles analyze factors associated with progression to infection in methicillin-resistant Staphylococcus aureus-colonized among critically ill neonates and the application of Alcohol-based Nasal Decolonization and Chlorhexidine Bathing to Reduce Methicillin-resistant Staphylococcus.
References
Kim, H., Kim, E. S., Lee, S. C., Yang, E., Kim, H. S., Sung, H., … & Chong, Y. P. (2020). Decreased incidence of methicillin-resistant Staphylococcus aureus bacteremia in intensive care units: a 10-year clinical, microbiological, and genotypic analysis in a tertiary hospital. Antimicrobial agents and chemotherapy, 64(10), e01082-20. https://doi.org/10.1128/AAC.01082-20
Schuetz, C. R., Hogan, P. G., Reich, P. J., Halili, S., Wiseman, H. E., Boyle, M. G., … & Fritz, S. A. (2021). Factors associated with progression to infection in methicillin-resistant Staphylococcus aureus-colonized, critically ill neonates. Journal of Perinatology, 41(6), 1285-1292. https://www.nature.com/articles/s41372-021-00944-8
Wang, X., & Kattan, M. W. (2020). Cohort studies: Design, analysis, and reporting. Chest, 158(1), S72-S78. https://www.sciencedirect.com/science/article/pii/S0012369220304645
Rough Draft Qualitative Research Critique and Ethical Considerations – Rubric
Rubric Criteria
Criterion |
1. 1: Unsatisfactory |
2. 2: Less Than Satisfactory |
3. 3: Satisfactory |
4. 4: Good |
5. 5: Excellent |
---|---|---|---|---|---|
Ethical Considerations Ethical Considerations |
0 points Discussion of ethical considerations when conducting nursing research is incomplete. A discussion on ethical considerations of the two articles presented in the essay is incomplete. |
21.38 points Discussion of ethical considerations when conducting nursing research is included but lacks relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is summarized but there are significant inaccuracies or omissions. |
23.65 points Discussion of ethical considerations when conducting nursing research is partially complete and includes some relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is discussed but there are some inaccuracies, or some information is needed. |
26.79 points Discussion of ethical considerations when conducting nursing research is complete and includes relevant details and explanation. A discussion on ethical considerations of the two articles used in the essay is presented; some detail in needed for accuracy or clarity. |
28.5 points Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation. A detailed discussion on ethical considerations of the two articles used in the essay is presented. |
Results of Study Results of Study |
0 points Discussion of study results, including findings and implications for nursing practice, is incomplete. |
21.38 points A summary of the study results includes findings and implications for nursing practice but lacks relevant details and explanation. There are some omissions or inaccuracies. |
23.65 points Discussion of study results, including findings and implications for nursing practice, is generally presented. Overall, the discussion includes some relevant details and explanation. |
26.79 points Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. |
28.5 points Discussion of study results, including findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation. |
Article Support of Nursing Practice Issue Article Support of Nursing Practice Issue |
0 points Discussion on how articles support the PICOT question is incomplete. |
21.38 points A summary of how articles support the PICOT question is presented. It is unclear how the articles can be used to answer the proposed PICOT question. Significant information and detail are required. |
23.65 points A general discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. It is unclear how the interventions and comparison groups in the articles compare to those identified in the PICOT question. Some rational or information is needed. |
26.79 points A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question. Minor detail or rational is needed for clarity or support. |
28.5 points A clear discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question. |
Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) |
0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. |
7.13 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. |
7.89 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. |
8.93 points Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. |
9.5 points Writer is clearly in command of standard, written, academic English. |
Thesis Development and Purpose Thesis Development and Purpose |
0 points Paper lacks any discernible overall purpose or organizing claim. |
7.13 points Thesis is insufficiently developed or vague. Purpose is not clear. |
7.89 points Thesis is apparent and appropriate to purpose. |
8.93 points Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. |
9.5 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. |
Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) |
0 points Sources are not documented. |
7.13 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. |
7.89 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. |
8.93 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. |
9.5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. |
Qualitative Studies Qualitative Studies |
0 points Only one article is presented. Neither of the articles presented use qualitative research. |
7.13 points Two articles are presented. Of the articles presented, only one article is based on qualitative research. |
7.89 points N/A |
8.93 points N/A |
9.5 points Two articles are presented. Both articles are based on qualitative research. |
Argument Logic and Construction Argument Logic and Construction |
0 points Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. |
7.13 points Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. |
7.89 points Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. |
8.93 points Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. |
9.5 points Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. |
Method of Study Method of Study |
0 points Discussion on the method of study for each article is omitted. The comparison of study methods is omitted or incomplete. |
21.38 points A partial summary of the method of study for each article is presented. The comparison of study methods is incomplete. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies. |
23.65 points A general discussion on the method of study for each article is presented. The comparison of study methods is summarized. A benefit and a limitation of each method are summarized. There some inaccuracies or partial omissions. More information is needed. |
26.79 points A discussion on the method of study for each article is presented. The comparison of study methods is generally described. A benefit and a limitation of each method are presented. There minor are inaccuracies. Some detail is required for accuracy or clarity. |
28.5 points A thorough discussion on the method of study for each article is presented. The comparison of study methods is described in detail. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods. |
Background of Study Background of Study |
0 points Background of study, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. |
14.25 points Background of study, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. |
15.77 points Background of study, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. |
17.86 points Background of study, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. |
19 points Background of study, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. |
Paper Format (use of appropriate style for the major and assignment) Paper Format (use of appropriate style for the major and assignment) |
0 points Template is not used appropriately or documentation format is rarely followed correctly. |
7.13 points Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. |
7.89 points Template is used, and formatting is correct, although some minor errors may be present. |
8.93 points Template is fully used; There are virtually no errors in formatting style. |
9.5 points All format elements are correct. |