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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.
Prepare this assignment according to the guidelines found in the APA Style Guide.
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 Turnitin.
ResearchCritique 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:
1. 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.
1. 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.
1. 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.
1. 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.
1. Were the purpose and research questions related to the problem?
Method of Study:
1. Were qualitative methods appropriate to answer the research questions?
1. Did the author identify a specific perspective from which the study was developed? If so, what was it?
1. Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
1. 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.
1. Did the author evaluate or indicate the weaknesses of the available studies?
1. Did the literature review include adequate information to build a logical argument?
1. 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 Was a framework developed from the study findings?
Results of Study
1. What were the study findings?
1. What are the implications to nursing?
1. Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?
Ethical Considerations
1. Was the study approved by an Institutional Review Board?
1. Was patient privacy protected?
1. Were there ethical considerations regarding the treatment or lack of?
Conclusion
1. Emphasize the importance and congruity of the thesis statement.
1. 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.
1. Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
1. Integrate a summary of the knowledge learned.
Quantitative Study
Background of Study:
1. 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.
1. 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.
1. 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.
1. 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.
1. Were the purpose and research questions related to the problem?
Methods of Study
1. Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
1. Was informed consent obtained from the subjects or participants?
1. Did it seem that the subjects participated voluntarily in the study?
1. Was institutional review board approval obtained from the agency in which the study was conducted?
1. Are the major variables (independent and dependent variables) identified and defined? What were these variables?
1. How were data collected in this study?
1. What rationale did the author provide for using this data collection method?
1. Identify the time period for data collection of the study.
1. Describe the sequence of data collection events for a participant.
1. Describe the data management and analysis methods used in the study.
1. 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?
1. 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
1. What is the researcher’s interpretation of findings?
1. Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
1. What limitations of the study were identified by researchers?
1. Was there a coherent logic to the presentation of findings?
1. 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?
1. What suggestions are made for further studies?
Ethical Considerations
1. Was the study approved by an Institutional Review Board?
1. Was patient privacy protected?
1. Were there ethical considerations regarding the treatment or lack of?
Conclusion
1. Emphasize the importance and congruity of the thesis statement.
1. 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.
1. Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
1. Integrate a summary of the knowledge learned.
Reference
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.
RUBIC for week 2
15.0 %Background of Study
Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.
Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
15.0 %Method of Study
Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.
Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
15.0 %Results of Study
Discussion of study results including findings and implications for nursing practice is incomplete.
Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
15.0 %Ethical Considerations
Discussion of ethical considerations associated with the conduct of nursing research is incomplete.
Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
15.0 %Conclusion
Conclusion does not summarize a critical appraisal and applicability of findings.
Conclusion is vague and does not discuss importance to nursing.
Conclusion summarizes utility of the research and importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
15.0 %Organization and Effectiveness
5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
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.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
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.
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.
Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
P I C O T ASSIGNMENT
QUESTION: What Is the effectiveness of restraints in reducing the occurrence of falls in patients 65 and over in nursing homes.
P – Patients 65 and over
I – Restraints
C – Besides safety alarm/rails
O – Decreased falls.
T – 1 year ( if needed)
PEER REVIEW ARTICLES – Qualitative
Research
1.
Vandenberg, Ann E.
Johnson, Theodore M., II
van Beijnum, Bert-Jan
Overdevest, Vera G. P.
Capezuti, Elizabeth
Source:
GERIATRIC NURSING
; JUL-AUG 2017, 38 4, p276-p282, 7p.
Publisher Copyright:
MOSBY-ELSEVIER
ISSN:
01974572
Document Type:
Journal
Author Keywords:
Fall prevention
Long-term care
Monitoring technology
Position monitors
Bed exit alarms
Pressure sensor mats
Alarm fatigue
KeyWords Plus:
LONG-TERM-CARE
OF-THE-ART
INTERVENTION
ADULTS
Abstract:
Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses’ environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members’ mobile devices in patient-centered care culture. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system. (C) 2016 Elsevier Inc. All rights reserved.
Language:
English
Accession Number:
000408180800002
Database:
Social Sciences Citation Index
Retrieved from
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000408180800002&site=eds-live&scope=site
2.
Horton K
Affiliation:
Centre for Research in
Nursing
and Midwifery Education, Division of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7TE United Kingdom. K.Horton@surrey.ac.uk
Source:
Journal of Rehabilitation Research & Development
(J REHABIL RES DEV), 2008; 45(8): 1183-119
4.
(12p)
Publication Type:
Journal Article – research, tables/charts
Language:
English
Major Subjects:
Accidental Falls
—
Prevention and Control
—
In Old Age
Accidents, Home
— Prevention and Control — In Old Age
Rehabilitation, Geriatric
Security Measures, Electronic
Telehealth
Minor Subjects:
Aged
;
Aged, 80 and Over
;
Community Living
;
Control (Psychology)
;
Descriptive Statistics
;
England
;
Fear
;
Female
;
Geriatric Assessment
;
Interviews
;
Male
;
Patient Compliance
;
Qualitative Studies
;
Thematic Analysis
;
Whites
;
Human
Abstract:
This
article
reports the qualitative element of an observational study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants’ fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood of using telemonitoring devices. Older people found that the use of telemonitoring gave them ‘a greater sense of security’ and enabled them to remain in their home. However, some found the devices ‘intrusive’ and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.
Journal Subset:
Allied Health; Blind Peer Reviewed; Peer Reviewed; USA
Special Interest:
Gerontologic Care
ISSN:
0748-7711
MEDLINE Info:
PMID: 19235119 NLM UID: 8410047
Entry Date:
20090626
Revision Date:
20151015
Accession Number:
105511991
Database:
CINAHL Complete
Retrieved from
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105511991&site=eds-live&scope=site
3.
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
; 2008, 45 8, p1183-p1194, 12p.
Publisher Copyright:
JOURNAL REHAB RES & DEV
ISSN:
07487711
Document Type:
Journal
Author Keywords:
assistive devices
bed occupancy sensor
community setting
fall detector
falls
fear of falling
observational study
older people
rehabilitation
telemonitoring
KeyWords Plus:
FEAR
EFFICACY
HOME
TELECARE
BALANCE
HEALTH
IMPACT
STATE
Abstract:
This article reports the qualitative element of an observational Study that examined whether an extended alarm service using fall detectors and bed occupancy sensors could reduce fear of falling among community-dwelling older people who had recurrent falls. The 17 participants in the intervention group used the extended alarm service while the 18 in the control group used a standard pendant alarm. Individual interviews were tape-recorded and transcribed. The participants’ fall history and whether they were afraid of falling were also explored. Interview questions were grounded in theories relating to falls and queried participants in the intervention group about their expectations of and experiences with the use of telemonitoring devices; those in the control group were asked whether they would consider using such devices in the future. Key themes from the analysis were expectations, feelings of security, call center support, barriers to using assistive devices, and adherence and likelihood Of using telemonitoring devices. Older people found that the use of telemonitoring gave them “a greater sense of security” and enabled them to remain in their home. However, some found the devices “intrusive” and did not feel they were in control of alerting the call center, which played a key role in their adherence to using the devices.
Language:
English
Accession Number:
000262456800008
Database:
Social Sciences Citation Index
Images:
·
·
Table 1
Table 2
Retrieved from: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000262456800008&site=eds-live&scope=site
Quantitative Research- Peer review
1.
Butcher M
Source:
Nursing &
Residential Care
(NURS RESIDENTIAL CARE), Feb2010; 12(2): 77-79. (3p)
Publication Type:
Journal Article – pictorial
Language:
English
Major Subjects:
Accidental Falls
— Prevention and Control
Beds and Mattresses
Liability, Legal
Organizational Compliance
Minor Subjects:
Patient Safety
; Residential Care;
Risk Assessment
Abstract:
This article looks at the background behind bed-rail regulation development and warns care home owners and managers that they have a legal requirement to implement systems to ensure.
Journal Subset:
Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland
ISSN:
1465-9301
MEDLINE Info:
NLM UID: 100897386
Entry Date:
20100402
Revision Date:
20150820
Accession Number:
105122268
Database:
CINAHL Complete
Retrieved from :
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105122268&site=eds-live&scope=site
2.
Hignett, Sue
Fray, Mike
Hignett, Sue
Sands, Gina
Fray, Mike
Xanthopoulou, Penny
Healey, Frances
Source:
AGE AND AGEING
; JUL 2013, 42 4, p531-p535, 5p.
Publisher Copyright:
OXFORD UNIV PRESS
ISSN:
00020729
Document Type:
Journal
Author Keywords:
bed rails
side rails
restraint
prevalence
rationale
older people
KeyWords Plus:
PHYSICAL RESTRAINTS
BEDRAILS
FALLS
CARE
HOSPITALS
DATABASE
SAFETY
RISK
Abstract:
Background: the design and use of bed rails has been contentious since the 1950s with benefits including safety, mobility support and access to bed controls and disadvantages associated with entrapment and restraint. Objective: to explore which bed designs and patient characteristics (mobility, cognitive status and age) influence the likelihood of rails being used on UK medical wards. Method: the use of rails was surveyed overnight at 18 hospitals between July 2010 and February 2011. Results: data were collected on 2,219 beds with 1,799 included (occupied). Eighty-six percent had rails attached; 52% had raised rails (42% had all raised). Adjusted logistic regression results suggest a significantly increased likelihood of rail use for (i) electric profiling beds and ultra low beds; (ii) > 80 years; (iii) described as having any level of confusion or mobility impairment. These variables together explained similar to 55% of the variance in rail use. The most frequently mentioned reason for raising rails was ‘to prevent falls from the bed’ (61%) especially for patients described as confused (75%). Conclusion: there were indications that rails were being used inappropriately (as a restraint) for both confused patients and those needing assistance to mobilise.
Language:
English
Accession Number:
000320855700021
Database:
Social Sciences Citation Index
Images:
·
·
Retrieved from :
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000320855700021&site=eds-live&scope=site
3.
Melissa de Freitas Luzia
Miriam de Abreu Almeida
Amália de Fátima Lucena
Source:
Revista da Escola de Enfermagem da USP, Vol 48, Iss 4, Pp 632-640 (
2014
)
Publisher Information:
Universidade de São Paulo, 2014.
Publication Year:
2014
Collection:
LCC:Nursing
LCC:
Medicine
Subject Terms:
Diagnóstico de enfermería
Cuidados de enfermería
Accidentes por caídas
Pacientes internos
Hospitalización
Nursing
Medicine
Description:
Objective: Identifying the prescribed nursing care for hospitalized patients at risk of falls and comparing them with the interventions of the Nursing Interventions Classifications (NIC). Method: A cross-sectional study carried out in a university hospital in southern Brazil. It was a retrospective data collection in the nursing records system. The sample consisted of 174 adult patients admitted to medical and surgical units with the Nursing Diagnosis of Risk for falls. The prescribed care were compared with the NIC interventions by the cross-mapping method. Results: The most prevalent care were the following: keeping the bed rails, guiding patients/family regarding the risks and prevention of falls, keeping the bell within reach of patients, and maintaining patients’ belongings nearby, mapped in the interventions Environmental Management: safety and Fall Prevention. Conclusion: The treatment prescribed in clinical practice was corroborated by the NIC reference.
Document Type:
article
File Description:
electronic resource
Language:
English
Portuguese
Spanish; Castilian
ISSN:
1980-220X
0080-6234
Relation:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000400632&lng=en&tlng=en; https://doaj.org/toc/1980-220X
DOI:
10.1590/S0080-623420140000400009
Access URL:
https://doaj.org/article/c5e84bcf606f45bbba54b5aab2da3780
Rights:
Journal Licence: CC BY
Accession Number:
edsdoj.5e84bcf606f45bbba54b5aab2da3780
Database:
Directory of Open Access Journals
Retrieved from :
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.5e84bcf606f45bbba54b5aab2da3780&site=eds-live&scope=site
4.
