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Critical appraisal of a qualitative study
Critical appraisal of a qualitative study
Qualitative research critical appraisal
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The research article chosen for critique is entitled “an educational programme for decreasing catheter-related bloodstream infections in intensive care units: a pre- and post- intervention observational study” by Shimoyama et. al, which published on 8 May 2017. This essay is a research paper using guideline of critique process (Boswell & Cannon, 2011).
The title is clearly presented and describes the research as a whole which includes independent and dependent variables and has total word count of 19 words. Pilot and Beck (2012) recommended that the title should be less than 15 words include both an independent and dependent variable. According to Parahoo (2006), title that too long or too short can confuse a reader. The title is very important
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In this paper, the research problem has clearly stated about it. The researchers stated that CRBSIs causes morbidity and mortality for ICU patient thus lead to high healthcare costs. Based on recent studies, educating healthcare providers on evidence-based approaches are needed to prevent and reduce the infections rate. The objective of this study is to analyse the incidence of CRBSIs. The research focused on exploring the compliance rate of Infection Control Committee includes physician and healthcare practitioner in medical ICU at a college affiliated with the Japan Society of Intensive Care Medicine. The aim of the study was to determine whether an educational programme could reduce the rate of CRBSIs in ICU. In addition, the author also mentioned to evaluate the effectiveness of educational programme lasting for four year was influencing the adherence of the Infection Control Committee following the guidelines for prevention of CRBSIs. The researchers believed that the study was necessary because previous data on the impact of such program was insufficient. The research also sought to study whether interventions could improve the level of knowledge and create awareness in order to decrease the rate of bloodstream infections. The researchers are from wide range of academic and professional background, and make use of their relevant knowledge and experience in doing the …show more content…
It includes citations from relevant current studies with publication range from 2000 to 2012. In the study, all evidence is related to the research topic. The researchers used appropriate literature to support their statements and the majority of literature cited is recent, usually between 5 to 10 years old. Most of the literature search focused on preventing hospital-acquired infections, educational programme for CRBSIs and the impact of the programme implementation to patients. As mentioned by Burns and Grove (2007), the main purpose of the literature review is to develop the research question, providing a solid basis of the study and identifying appropriate methods for data collection. Coughlan et. al., (2007) recommended that literature used in review should be less than 5 years; however the lack of research being conducted on the topic led the authors to use slightly older material, which scholarly writing generally indicates is appropriate. The review of the literature by researchers revealed the significant current problem CRBSIs and identified past studies finding that infections are consistently related to clinical practice. Through the study, the researchers used primary empirical data rather than secondary source or anecdotal information, which is consistent with the recommendations (Coughlan et. al, 2007). Using primary empirical data excludes bias in the interpretation of the work that has been done by other
Titles are usually skipped over. A reader thinks that almost no information can be found in the title considering
Baptist Memorial Hospital is in a highly competitive healthcare environment. This capitation is not only the result of efforts of the other healthcare organizations but, also driven by patient consumerism. The government sponsored hospital compare website allows potential patients the ability to compare our clinical outcome data. The targeted group is also the group with the greatest healthcare choice, our medicare population. One of the major reporting categories is Hospital acquired condition, the most significant of these is hospital aired infections. The significance of the website data is:
The effect is that the title pulls the reader in because the title is short and sharp, also its makes the reader excited.
The topic that I chose is interventions used to reduce catheter associated urinary tract infections(CAUTI). This type of infection is acquired from the use of urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital acquired infection caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced in the body it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder. It is also used for urinary retention or bladder obstruction. The implementation of evidenced based practice when providing care
CLABSIs are not confined to one unit of nursing care and there are many precipitating factors that may contribute to the development of a CLABSI. Often times these lines are placed in emergent situations in the emergency department (ED) and there may be a break in sterile technique. However a study conducted by Smith, Egger, Franklin, Harbrecht, and Richardson (2011) found a higher incidence of CLABSIs among intensive care unit (ICU) patients compared to those patients whose CLs were placed either in the ED or operating room (OR). This indicates further education for ICU s...
...the data did not involve member checking thus reducing its robustness and enable to exclude researcher’s bias. Although a constant comparative method was evident in the discussion which improved the plausibility of the final findings. Themes identified were well corroborated but not declared was anytime a point of theoretical saturation Thus, the published report was found to be particularly strong in the area of believability and dependability; less strong in the area of transferability; and is weak in the area of credibility and confirmability, although, editorial limitations can be a barrier in providing a detailed account (Craig & Smyth, 2007; Ryan, Coughlan, & Cronin, 2007).
We as a nurse should be aware about the causes, risk factors and complications about the nosocomial infections associated to catheterization. As it is found in various surveys and research that the catheter associated UTI is one of the most common and frequently occurring type of hospital acquired infection due to various risk factors and causes, we have to follow the guidelines and strategies for the prevention and management of those infection. Catheter associated UTI is the patient safety indicator by which we can improve the health care and provide patient safety and quality care. There is a vital role of nurses in improving health care system which is possible by following the principles and guidelines of assessment, surveillance and nursing management of the patient.
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
...s and measurement to decrease healthcare- associated infections. American Journal Of Infection Control, pp. S19-S25. doi:10.1016/j.ajic.2012.02.008.
1. Critically analyze current practice to formulate researchable problems: There are so many issues facing the current practice in the healthcare. It is very important for the providers to identify the problem and conduct the best evidence-based research and apply it into practice to prevent or reduce the identified problems. Conducting a study on one of the healthcare-associated infections (HAIs) was a learning experience and it equipped me with the knowledge I need to conduct a research or be part of any research in the future. 2.
Prevention of hospital-acquired infections: review of non-pharmacological interventions. Journal of Hospital Infection, 69(3), 204-219. Revised 01/20 Haugen, N., Galura, S., & Ulrich, S. P. (2011). Ulrich & Canale's nursing care planning guides: Prioritization, delegation, and critical thinking. Maryland Heights, Mo. : Saunders/Elsevier.
Include methodologists (experts on research methodology, critical appraisal, and interpretation of evidence) who are not content experts in the guideline panel. Content experts are more likely to accept the results of a study if these are consistent with current beliefs or preconceptions even if there are questions regarding its quality.3 Independent methodologists will be in a better position to identify and address any methodologic issues that are raised. 4. Exclude panel members with conflicts from deliberations, drafting, and voting on the recommendations. Guidelines should describe in detail how conflicts of interest were addressed during the guideline development process.
Using evidenced based practices have shown decrease in infections. These articles indicated nurse driven protocols impressively decrease the duration of catheterization and CAUTI rate. Using the CDC evidenced based guidelines reduction in duration of catheterization and CAUTI rate. Multidisciplinary campaigns increase health care worker perspective toward prevention as a priority in the health care system. ?
The issue of hospital-acquired infections, which are avoidable and preventable,
Clinical performance and evaluation(CPE): CPE prepare analysis regards effectiveness and research, clinical audit and use of key support distribution, which will target towards progress of patient care and outcome by fundamental analysis of care regarding infection control (Marshall & Kersten 2010). Instruction, scientific awareness and documentation will play vital role to achieve clinical performance. The knowledge based on patient’s course of action, familiarity, materials and achievements will be gathered and apply them in progressing essential leadership for patient health care (Marshall & Kersten 2010). Clinical Risk: The manager and local guidance with their best knowledge regulation and rules regarding reporting, infection risk management and evaluation (Marshall & Kersten 2010).