NRS 433 TOPIC 3 Research Critique Guidelines Part II Assignment

NRS 433 TOPIC 3 Research Critique Guidelines Part II Assignment

NRS 433 TOPIC 3 Research Critique Guidelines Part II Assignment

Research Critique Guidelines Part II
Quantitative Studies
The nursing practice is the increased risk of catheter-associated urinary tract infections (CAUTIs) in hospitalized patients compared to outpatients. CAUTIs are among the most prevalent forms of hospital-acquired infections (HAIs) and can lead to adverse effects such as increased cost of patient care, lengthened hospital stays, and unnecessary exposure to more infections. Catheter-associated urinary tract infections (CAUTIs) are caused by bacteria entering the urinary tract through a catheter (Yuan et al., 2021). The longer the catheter remains in place, the higher the risk of infection. Other factors that increase the risk of CAUTIs include poor catheter care, improper insertion, and prolonged use of antibiotics. The purpose of this paper is to write a critical appraisal that demonstrates comprehension of two quantitative research studies.

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PICOT Question
Among patients at risk of CAUTIs in acute care setting (P), does having a nurse-driven bladder bundle (I) compared to no nurse-driven bundle (C) reduce and prevent the incidences of CAUTIs (O) within 6 months (T)?
Background of Studies
The quantitative studies under consideration include Article 4, “Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU” by Tyson et al., (2020) and Article 5, “Aspects of prevention of urinary tract infections associated with urinary bladder catheterization and their implementation in nursing practice” by Krocová & Prokešová (2022).
Article 4 aimed to demonstrate the effectiveness of a nurse-driven protocol for catheter removal in reducing catheter use and catheter-associated urinary tract infection (CAUTI) rates in a surgical trauma intensive care unit (STICU). The research question was, “Does the use of nurse-driven catheter removal protocol result in reduced catheter utilization and CAUTI rates in a surgical trauma intensive care unit (STICU)?” The study used a retrospective cohort approach and analyzed the outcomes using regression analysis and incident rate ratio as well as confidence intervals. The key findings include a reduction in the use of catheters and a decline in CAUTI rates per 1000 catheter days based on before and after the implementation period (Krocová & Prokešová, 2022). The researchers recommended the use of nurse-based protocol for early urinary catheter removal as a component of CAUTI prevention strategy that can lead to significant reduction of CAUTI rates and even utilization.
Article 5 aimed to determine the efficacy of steps of CAUTI prevention, especially those leading to better care in urinary infections. The problem addressed in the article is the high incidence of CAUTIs associated with urinary catheterization. The study is significant as it provides evidence-based intervention approaches that can be used by nurses in preventing CAUTIs. The purpose of the study was to determine the effectiveness of implementing steps of CAUTI prevention and the measures that led to better quality of care in urinary infections. The research question was, ” Does the use of CAUTI steps prevent occurrence of catheter infections and improve quality of care?” The results show that not all respondents monitored CAUTI outcomes in their facilities (Tyson et al., 2020). The lack of monitoring means that they could not prove the effectiveness of the preventive measures. The implication is that nurses must implement these protocols to enhance outcomes and reduce CAUTIs in their settings. The study also found that nurse-led protocols for removing urinary catheters are effective in reducing the incidence of CAUTIs and improving patient outcomes.

How the Two Articles Support the Nursing Practice Problem
The two articles can be used to answer the PICOT question by providing evidence-based interventions and outcomes related to nurse-driven protocols for preventing CAUTIs. Both articles provide evidence that supports the use of nurse-driven bladder bundle interventions to prevent and reduce the incidence of CAUTIs in acute care settings. The interventions and comparison groups in the articles align with those identified in the PICOT question. Both articles evaluate the effectiveness of nurse-driven protocols for preventing CAUTIs, which is the intervention identified in the PICOT question. The comparison group in both articles is patients who did not receive the nurse-driven protocol, which aligns with the comparison group identified in the PICOT question. The setting in both articles is acute care, which also aligns with the PICOT question. Overall, the interventions and comparison groups in the articles provide relevant evidence to answer the PICOT question.
Method of Studies
The two articles used different methods of study. Article 4 used a retrospective cohort approach and analyzed the outcomes using regression analysis and incident rate ratio, while Article 5 conducted a scoping review of literature and questionnaires. The retrospective cohort approach is a quantitative method that involves analyzing data from past events to identify associations between variables. On the other hand, a scoping review is a qualitative method that involves systematically searching and summarizing existing literature on a particular topic. 2.
One benefit of the retrospective cohort approach used in Article 2 is that it allows for the analysis of large amounts of data and can identify associations between variables. However, a limitation is that it relies on existing data, which may not be complete or accurate. One benefit of the scoping review used in Article 5 is that it provides a comprehensive overview of existing literature on a particular topic. However, a limitation is that it may not provide a detailed analysis of individual studies and may not be able to draw definitive conclusions. Additionally, the benefits of questionnaires include their ability to efficiently gather data from large samples, their cost-effectiveness, and their ability to easily analyze results using statistical methods. However, questionnaires have limitations, including the potential for response bias, the inability to clarify questions, and limited depth of data compared to other data collection methods such as interviews or focus groups.
Results of Studies
Quantitative study 4 found that the implementation of the nurse-driven protocol for catheter removal resulted in a significant reduction in catheter utilization and CAUTI rates in the surgical trauma ICU. The study recommends the use of nurse-driven protocols for catheter removal as a component of CAUTI prevention strategy that can lead to a significant reduction of CAUTI rates and even utilization. Researchers noted a reduction in the use of catheters and a decline in CAUTI rates per 1000 catheter days based on before and after the implementation period. Nurses should implement interventions to reduce CAUTIs and improve patient outcomes.
For quantitative study 5, the results show that not all respondents monitored CAUTI outcomes in their facilities. The lack of monitoring means that they could not prove the effectiveness of the preventive measures. The implication of the two studies is that nurses must implement these protocols to enhance outcomes and reduce CAUTIs in their settings. Also, authors found that having diverse interventions reduces the susceptibility of patients to CAUTIs, especially preventive measures led by nurses. The study recommends the use of nurse-based protocol for early urinary catheter removal as a component of CAUTI prevention strategy that can lead to a significant reduction of CAUTI rates and even utilization
Ethical Considerations
Two ethical considerations in conducting research are informed consent and confidentiality. Informed consent involves ensuring that participants understand the purpose of the study, the procedures involved, and any potential risks or benefits. Confidentiality involves protecting the privacy of participants and ensuring that their personal information is not disclosed without their consent (Newman et al., 2021). From the two quantitative studies, the researchers obtained informed consent from participants and ensured that their personal information was kept confidential. The studies were approved by the institutional review board, and participants were informed of their right to withdraw from the study at any time. The authors also ensured that they did not disclose any personal information of the authors of the studies they reviewed.
Conclusion

The nursing practice is the increased risk of catheter-associated urinary tract infections (CAUTIs) in hospitalized patients compared to outpatients. The quantitative studies under consideration include Article 4, “Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU” by Tyson et al., (2020) and Article 5, “Aspects of prevention of urinary tract infections associated with urinary bladder catheterization and their implementation in nursing practice” by Krocová & Prokešová (2022). The findings of the two studies are critical in answering the PICOT question.

References
Krocová, J., & Prokešová, R. (2022, January). Aspects of prevention of urinary tract infections associated with urinary bladder catheterization and their implementation in nursing practice. In Healthcare, 10(1): 152. https://doi.org/10.3390/healthcare10010152
Newman, P. A., Guta, A., & Black, T. (2021). Ethical considerations for qualitative research methods during the COVID-19 pandemic and other emergency situations: Navigating the virtual field. International Journal of Qualitative Methods, 20, 16094069211047823. https://journals.sagepub.com/doi/pdf/10.1177/16094069211047823
Tyson, A. F., Campbell, E. F., Spangler, L. R., Ross, S. W., Reinke, C. E., Passaretti, C. L., & Sing, R. F. (2020). Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU. Journal of intensive care medicine, 35(8), 738-744. https://journals.sagepub.com/doi/abs/10.1177/0885066618781304?journalCode=jica
Yuan, F., Huang, Z., Yang, T., Wang, G., Li, P., Yang, B., & Li, J. (2021). Pathogenesis of Proteus mirabilis in catheter-associated urinary tract infections. Urologia Internationalis, 105(5-6), 354-361. https://www.karger.com/Article/FullText/514097

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Research Critique Guidelines – Part II

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies

Introduction

Introduce your nursing practice problem and discuss the purpose of your paper.

State your PICOT question.

Background of Studies

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

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

Discuss how these two articles will be used to answer your PICOT question.

Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Studies

State the methods of the two articles you are comparing and describe how they are different.

State one benefit and one limitation of each method you have identified.

Results of Studies

Summarize the key findings of each study in one or two comprehensive paragraphs.

What are the implications of the two studies in nursing practice?

Ethical Considerations

Discuss two ethical consideration in conducting research.

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

Conclusion

Your conclusion should summarize the main points in the essay, including a varied restatement of the thesis.

Assessment Description

In this assignment, you will write a critical appraisal that demonstrates comprehension of two quantitative research studies.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment.

In a 1,000–1,250-word essay, summarize two quantitative studies.

Use the “Research Critique Guidelines – Part II” document to organize your essay.

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.

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