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Research Critiques And PICOT Question Assignment

 

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study)Research Critiques And PICOT Question Assignment.

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Research Critiques

In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper. Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change.

General Requirements

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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 Research Critiques and PICOT Question Guidelines –

Final Draft

Use this document to organize the content from your four studies into your final draft. Successful completion of this assignment requires that you tie together Part I and Part II and provide revisions based on your instructor’s feedback, as well as describing the outcomes and proposed evidence-based practice change. Research Critiques And PICOT Question Assignment

Qualitative and Quantitative Studies

Introduction

According to Fakih et al. (2022), CAUTI “Catheter-associated urinary tract infections” affect several patients due to ineffective guidelines or procedures. An estimated 75percent of hospital infections are affiliated with the placement of a urinary catheter. Throughout their hospitalization, 15-25percent of inpatients obtain urinary catheters. Continuous catheter placement and unnecessary catheter utilization might cause financial and physical harm to the patient. The following document will present a synopsis of reviewed studies, how these articles support the chosen nursing practice issue, a comparison of study methods, and results and implications for each research. The paper will also analyze ethical considerations and outcomes of every four studies. Research Critiques And PICOT Question Assignment

Qualitative Study Background

The first study by Meddings et al. (2020) focused on healthcare-related safety issues like catheter-associated urinary tract infections. It examines the No Preventable Harms campaign, which aims to eliminate this nursing practice problem. It examined and enhanced the interdisciplinary team’s understanding of urinary catheters, teaching a safe and secure atmosphere for patients and their care environment. The goal of the whole campaign was to encourage practitioners to collaborate on proper prevention.

The second qualitative study used an education bundle to evaluate the effects of a catheter-associated urinary tract infection. This educational packet provided healthcare professionals with information and grew their understanding of implantable catheter management and correct use. This research aimed to improve nurses’ understanding and implement effective techniques and training to reduce catheter-associated urinary tract infections in medical settings (Mong et al., 2022).

Quantitative Study Background

The first article aimed to look into healthcare catheter management practices using an implantable catheter management checklist. The recently launched checklist included four main components of catheter care that used a catheter-associated urinary tract infection prevention package. This package recommends minimizing catheter utilization, improving the aseptic technique while implanting the catheter, setting guidance for catheter maintenance, and providing proper equipment for determining catheter essentiality (Hernandez et al., 2019)Research Critiques And PICOT Question Assignment.

The second study’s goal is to reduce improper urinary catheterization and the timeframe of every catheter insertion to eliminate catheter-associated urinary tract infections. Improper catheter use might result in physical injury and increase the infection risk. This research is founded on a nurse-led initiative to identify substantial benefits, establish them using evidence-based practices, and increase compliance throughout all facilities to decrease this nursing practice concern (Parker et al., 2017)Research Critiques And PICOT Question Assignment.

Support from Each Study

Every study was selected to provide evidence for a PICOT question about preventing catheter-associated urinary tract infections. Compared to the absence of nurse-driven protocol strategies, will incorporating a nurse-driven procedure for expulsing urinary Foley catheters decrease the number of patients who develop catheter-associated urinary tract infections when investigated and assessed over five months? Each of these four studies recognizes a protocol or package implemented to enhance and reduce catheter-related urinary tract infections. The researches were more focused on nurses.

This research demonstrated that nurse-driven procedures not only minimize the above nurse practice concern but also increase compliance with this protocol inside an institution by other employees of the integrated team. Patients may suffer unintended harm as a result of catheter-associated urinary tract infections. As the articles demonstrate, protocols are always in place to protect patients. Every research study provides proof of how protocols could function, particularly in comparison to what is generally done. As previously stated, the above research suggests that nurse-driven protocols are urged because they can increase protocol utilization among many other nursing members. Still, clinicians have a fuller knowledge of such a nursing practice issue. Research Critiques And PICOT Question Assignment

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Methods of Qualitative Study

The mixed-method approach has been used in all of these articles. The first study examined how and whether the No Preventable Harms campaign succeeded. A record number of 46 interviews were carried out throughout six amenities, emphasizing where every site was in the procedure, the obstacles they experienced, and the choices they made to respond to such barriers. After completing the interview sessions, a quick evaluation was conducted. One benefit of this research is that each institution began imposing the campaign very quickly as possible after it was implemented (Meddings et al., 2020)Research Critiques And PICOT Question Assignment.

The second article by Mong et al. (2022) employed an inductive approach. This information was gathered through focus group discussions. Every group was interviewed, and the information was translated into separate components. The data was then classified to help organize the information. To achieve data saturation, collected data were analyzed, and concepts were compared upon gathering and organization. Thirteen nurse practitioners of various ages took part in the study. One advantage of this research was that it involved a small group, and the education was implemented perfectly. Nevertheless, one disadvantage of this research was that there was no suitable accumulation of CAUTI rates within the institution following the study’s implementation. Research Critiques And PICOT Question Assignment

Methods of Quantitative Study

The quantitative research method was used in both pieces of research. The first research by Hernandez et al. (2019) utilizes a checklist developed for educational purposes, enabling data to be gathered once it has been implemented. This experiment included fourteen nurses. The list was accumulated weekly for up to fifteen weeks to assess usage. The post-test was administered and accomplished, allowing data to be collected from every nurse on the insights obtained from the checklist and the way it enhanced their care. The fact that this study had a smaller group made it simpler to assess the data. The use of a self-administered checklist, which could be influenced by under or over-reporting clinical services, was a drawback of this study.

The second research by Parker et al. (2017) utilizes a phased mixed-method approach with numerous pre-post control intervention designs. The package which was presented was the No CAUTI package. The data was gathered online, and a survey was carried out, which covered four distinct healthcare facilities across selected regions. The advantage of this study was that it was put in place by nurses and other employees. One disadvantage of this research was that, due to the size of the group, the integration of the teaching could not be introduced in such a way that everybody received the knowledge. Research Critiques And PICOT Question Assignment

Results of the Qualitative Study

The qualitative component of this mixed-method research stated concepts from our research that emphasize the significance of exploring the possible context and communication when creating and implementing regional initiatives. Based on the local setting, the collected data imply a necessity for versatility and individual autonomy. Several more sites report more outstanding regional network communication. The assessment team’s feedback was then used for revision and implementation (Meddings et al., 2020)Research Critiques And PICOT Question Assignment.

The qualitative findings of the second paper were derived from the three aspects of the focus group discussions: nursing knowledge and skills, existing medical practice, and catheter management resources. Several nurses place catheters without physicians’ orders, while others pursue the catheter insertion order. Nurse practitioners stated that they acknowledged the learning system for the patients. However, gender differences between patients and nurses and patients unwilling to foley implantation acted as a roadblock on occasion. These concepts were compiled to modify the protocol (Mong et al., 2022)Research Critiques And PICOT Question Assignment.

Results of the Quantitative Study

The first study had an aim of utilizing a supplied checklist to take actions that were safe for the patient. This research gathered 175 checklists in total. This list revealed that nurse practitioners conducted 31 % of all evidence-based practices; 22 % had a partially finished performance; 30% recognized that nurse practitioners conducted catheter removal and maintenance; 9% only achieved catheter maintenance; and 7% performed catheter removal (Hernandez et al., 2019).

The second research by Parker et al. (2017) focused on implementing the protocol to prevent any unneeded use of catheters or causing any undesired harm to patients. This research noted approximately 500 patients per District Hospital. The protocol reduced catheter insertion rates by around 40% in this investigation. This research provides sufficient data and evidence of catheter usage, maintenance, and protocol implementation. Research Critiques And PICOT Question Assignment

Ethical Considerations

The articles in each study contain ethical aspects. First, before the research started, every participant was handed a consent form. The form safeguarded both the research and the confidentiality of participants. Respect was shown to the participants because they were fully informed about the study before it began. The four studies were all approved.

These articles, however, do not mention obtaining consent from participants who might have participated in the research due to catheterization, documenting, charting, and the application of the checklist.   It is critical to provide evidence-based practice and incorporate it into healthcare to improve the skill and advocate for the patient. The study results indicate that nurse-driven guidelines for implantable urinary catheter maintenance are required. Research Critiques And PICOT Question Assignment

Outcome Comparison

The goal of the PICOT question, as outlined at the outset, is to decrease catheter-associated urinary tract infections by using a nurse-driven protocol to enhance healthcare outcomes. Every research has a similar goal: minimizing catheter-associated urinary tract infections and improving the clinical experience by implementing the best evidence-based practice. Based on these studies, a nurse-driven and taught procedure has a positive experience. It is incorporated by practitioners who recognize it effectively over others. Enhancing and establishing protocols will help nurses to use critical thinking competencies when putting or maintaining a catheter for the patient’s safety. Incorrect catheter placement might result in infection and injury to a patient, resulting in higher expenses and more extended hospitalizations. Having bundles or protocols in place can help pinpoint when a Foley catheter should be used. Nurse practitioners who initiate these protocols will improve compliance throughout the institution from all members of the multidisciplinary teams.

Conclusion

To conclude, it is imperative for nurse professionals to seize occasions to apply evidence-based practice protocols to enhance nursing skills and care. Clinicians need the necessary learning resources and chances to implement new evidence-based practices in their settings. Enabling nurse practitioners to introduce new and better care and establish protocols will lead to greater compliance and high-quality healthcare across the board. Research Critiques And PICOT Question Assignment

References

Fakih, M. G., Bufalino, A., Sturm, L., Huang, R. H., Ottenbacher, A., Saake, K., … & Cacchione, J. (2022). Coronavirus disease 2019 (COVID-19) pandemic, central-line–associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): The urgent need to refocus on hardwiring prevention efforts. Infection Control & Hospital Epidemiology, 43(1), 26-31. Research Critiques And PICOT Question Assignment

Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses’ checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1), 29–42.

Meddings, J., Greene, M. T., Ratz, D., Ameling, J., Fowler, K. E., Rolle, A. J., … & Saint, S. (2020). Multistate program to reduce catheter-associated infections in intensive care units with elevated infection rates. BMJ quality & safety, 29(5), 418-429.

Mong, I., Ramoo, V., Ponnampalavanar, S., Chong, M. C., & Wan Nawawi, W. N. F. (2022). Knowledge, attitude and practice in relation to catheter‐associated urinary tract infection (CAUTI) prevention: A cross‐sectional study. Journal of clinical nursing, 31(1-2), 209-219.

Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., O’Brien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, 17, 1–9. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-017-2268-2 Research Critiques And PICOT Question Assignment

Research Critiques and PICOT Question Guidelines –

Final Draft

Qualitative and Quantitative Studies

Introduction

  1. Introduce your nursing practice problem and discuss the purpose of your paper.
  2. State your updated PICOT question incorporating any feedback that you received from your instructor.

Background of Studies

  1. Summary of studies including problem, significance to nursing, purpose, objective, and research questions.

How Do These Four Articles Support the Nursing Practice Problem You Chose?

  1. Discuss how the four 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 Studies:

  1. State the methods of the four articles you are comparing and describe how they are different.
  2. State one benefit and one limitation of each method you have identified. Research Critiques And PICOT Question Assignment

Results of Studies:

  1. Summarize the key findings of each of the studies into a comprehensive summary.
  2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

  1. Discuss two ethical considerations in conducting research.
  2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

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Outcomes Comparison

  1. What are the anticipated outcomes for your PICOT question?
  2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

Proposed Evidence-Based Practice Change

  1. What is the link between the PICOT question, the research articles, and the nursing practice problem you identified?
  2. Based on this information, propose an evidence-based practice change for your identified setting.

Conclusion

  1. Your conclusion should summarize the main points in the essay, including a varied restatement of the thesis. Research Critiques And PICOT Question Assignment