Assignment: Topic 2 Qualitative Research Critique and Ethical Consideration

Assignment: Topic 2 Qualitative Research Critique and Ethical Consideration

Assignment: Topic 2 Qualitative Research Critique and Ethical Consideration

Qualitative Research Critique and Ethical Consideration

Qualitative Studies
The nursing practice problem in this study is Catheter-associated urinary tract infections (CAUTIs). Catheter-associated urinary tract infections (CAUTIs) are a serious problem in healthcare settings, particularly for those patients who use Foley catheters in nursing homes. The repeated use of these therapies raises the chance of acquiring CAUTIs, which may lead to major consequences and even death (Yuan et al., 2021). Nevertheless, nurse-driven treatments such as bladder bundle support have demonstrated to be successful in lowering the incidence of CAUTIs. To manage this nursing problem, it is vital for healthcare institutions to have effective treatment strategies, including education of nurses on the necessity of prompt catheter removal and the administration of antibiotics. With good care and prevention, the incidence of CAUTIs may be decreased, and patient outcomes can be improved. The purpose of this assignment is to discuss CAUTI as the major nursing practice problem and to write a critical appraisal that demonstrates comprehension of two qualitative research studies from topic 1.
PICOT Question

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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 two qualitative studies for this discussion include: Article 1, “Implementation of a Nurse-Driven Foley Removal Protocol and Urine Specimen Algorithm in a CCU at a Level 1 Trauma Center” by Minor et al. (2022) and Article 2, “Don’t have a doubt, get the catheter out: a nurse-driven CAUTI prevention protocol.” By Schiessler et al., (2019). The two articles present research on Catheter-associated urinary tract infections (CAUTIs) as the major nursing practice problem in healthcare institutions.
Summary of Article 1
The article discusses a nurse-led protocol aimed at reducing and preventing Catheter-Associated Urinary Tract Infections (CAUTIs) in critical care units. The problem addressed in the study is the high incidence of CAUTIs in critical care units, which can lead to increased morbidity, mortality, and healthcare costs. The significance of the study to nursing is that it highlights the importance of nurse-led interventions in reducing healthcare-associated infections (Minor et al., 2022). The purpose of the study was to evaluate the effectiveness of a nurse-led protocol in reducing and preventing CAUTIs in critical care units. The objective was to create a urine specimen algorithm and nurse-driven Foley removal protocol that could be implemented by nurses in critical care units.
The research question was: Does a combination of urine algorithm and nurse-driven catheter removal reduce CAUTI in CCU? The question was focused on the effectiveness of the protocol in reducing CAUTIs and improving patient outcomes. The study used a qualitative evaluation design, and data were collected through chart reviews and interviews with healthcare providers. The results showed that the nurse-led protocol was effective in reducing CAUTIs and improving patient outcomes. The study recommends that medical professionals inserting indwelling urinary catheters should receive training and develop competency to reduce the incidence of CAUTIs (Minor et al., 2022). Overall, the nurse-led protocol is an effective intervention in reducing and preventing CAUTIs in critical care units. The study highlights the importance of nurse-led interventions in reducing healthcare-associated infections and recommends that medical professionals receive training and develop competency in catheter insertion to reduce the incidence of CAUTIs.
Summary of Article 2
The article discusses a nurse-led protocol aimed at reducing the incidence of catheter-associated urinary tract infections (CAUTIs) in a pediatric ICU. The problem is that CAUTIs are a common complication in critically ill patients with indwelling urinary catheters, leading to increased morbidity, mortality, and healthcare costs (Schiessler et al., 2019). The significance to nursing is that nurses play a crucial role in preventing and managing CAUTIs.
The purpose of the study is to evaluate the effectiveness of a nurse-led protocol using the Plan-Do-Check-Act (PDCA) methodology in reducing the incidence of CAUTIs. The objective is to reduce catheter days and CAUTI rates by promoting prompt removal of indwelling urinary catheters (Schiessler et al., 2019). The research question is: Does the use of a nurse-driven CAUTI prevention protocol reduce the incidence of CAUTI in a pediatric ICU? The study found that the protocol led to a significant reduction in CAUTI rates and was feasible and acceptable to implement. The researchers recommend prompt removal of indwelling urinary catheters to reduce catheter days and CAUTI rates.
How the Two Articles Support the Nursing Practice Problem
The articles will be used to answer the “intervention” component of the PICOT question, as they provide evidence for the effectiveness of a nurse-driven CAUTI prevention protocol in reducing the incidence of CAUTIs in a pediatric ICU and CCU. Both articles provide evidence that nurse-driven protocols can significantly reduce the incidence of CAUTIs in acute care settings. 2. The interventions and comparison groups in the articles are similar to those identified in the PICOT question. In both cases, the intervention is a nurse-driven protocol aimed at reducing the incidence of CAUTIs. The comparison group in both articles is the absence of a nurse-driven protocol. The setting of the studies is also similar to the PICOT question, as both studies were conducted in acute care settings. However, the patient population in the second article is limited to pediatric patients, while the PICOT question does not specify a particular age group. Overall, the interventions and comparison groups in the articles provide relevant evidence to support the PICOT question.
Method of Studies
Article 1 uses an evaluation study design methodology to evaluate the implementation of a nurse-driven Foley removal protocol and urine specimen algorithm in a critical care unit (Minor et al., 2022). Article 2 uses Plan, Do, Check, Act (PDCA) methodology to describe a nurse-driven CAUTI prevention protocol in a pediatric intensive care unit. One benefit of the evaluation study design used in the first article is that it allows for the assessment of the effectiveness of the intervention in a real-world setting. However, a limitation of this design is that it may not provide a comprehensive understanding of the underlying mechanisms of the intervention.
The Plan, Do, Check, Act (PDCA) methodology is useful for qualitative research because it provides a framework for continuous improvement (Schiessler et al., 2019). The advantage is that it helps researchers to identify and address problems in a systematic way. However, the disadvantage is that it may limit creativity and exploration, leading to a narrower focus on the research objectives. Overall, both methods have their strengths and weaknesses, and the choice of method depends on the research question and the available resources.

Results of Studies
The Article 1 found that the implementation of these interventions significantly reduced the incidence of catheter-associated urinary tract infections (CAUTIs) in the CCU. The number of CAUTIs reduced to 5, and the standardized infection ratio decreased from 2.5 to 1.63 (Minor et al., 2022). The implication of this study in nursing practice is that nurse-driven protocols can be effective in reducing the incidence of CAUTIs in acute care settings. Article 2 found that the implementation of the protocol led to a significant reduction in the number of PICU CAUTIs from 4.8 per 1,000 device days to 0.8 a year later (Schiessler et al., 2019). The study also found that the protocol led to a reduction in the use of indwelling urinary catheter device days by 28% (Schiessler et al., 2019). The implication of this study in nursing practice is that nurse-driven protocols can be effective in reducing the incidence of CAUTIs in pediatric patients in acute care settings.
The implications of these two studies in nursing practice are that nurse-driven protocols can be effective in reducing the incidence of CAUTIs in acute care settings. Nurses can play a crucial role in the prevention of CAUTIs by implementing evidence-based protocols and guidelines. The findings of these studies suggest that nurse-driven protocols, such as Foley removal protocols and CAUTI prevention protocols, can significantly reduce the incidence of CAUTIs and improve patient outcomes. Nurses should be trained and competent in implementing these protocols to ensure their effectiveness in reducing the incidence of CAUTIs.
Ethical Considerations
Two ethical considerations in conducting research are informed consent and confidentiality. Informed consent ensures that participants are fully aware of the nature and purpose of the study, and they voluntarily agree to participate. Confidentiality ensures that participants’ personal information is protected and not disclosed without their consent. The researchers in the two articles took these ethical considerations into account while performing their research. Informed consent was obtained from all participants in both studies, and they were fully informed about the nature and purpose of the study (Schiessler et al., 2019). Confidentiality was also maintained in both studies, and participants’ personal information was protected. The researchers ensured that the data collected was de-identified and only used for the purpose of the study. Overall, the researchers in both articles demonstrated ethical conduct in their research by ensuring that participants’ rights were protected.
Conclusion
Catheter-associated urinary tract infections (CAUTIs) are a serious problem in healthcare settings, particularly for those patients who use Foley catheters in nursing homes. The objective of the two article is to reduce catheter days and CAUTI rates by promoting prompt removal of indwelling urinary catheters. The implications of these two studies in nursing practice are that nurse-driven protocols can be effective in reducing the incidence of CAUTIs in acute care settings. Nurses can play a crucial role in the prevention of CAUTIs by implementing evidence-based protocols and guidelines.

References
Minor, L., VanDerSlik, A. L., Lapsley, C. E., & Albers, C. E. (2022). Implementation of a Nurse-Driven Foley Removal Protocol and Urine Specimen Algorithm in a CCU at a Level 1 Trauma Center. American Journal of Infection Control, 50(7), S33-S34. https://doi.org/10.1016/j.ajic.2022.03.055
Schiessler, M. M., Darwin, L. M., Phipps, A. R., Hegemann, L. R., Heybrock, B. S., & Macfadyen, A. J. (2019). Don’t have a doubt, get the catheter out: a nurse-driven CAUTI prevention protocol. Pediatric Quality & Safety, 4(4), e183. DOI: 10.1097/pq9.0000000000000183
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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In this assignment, you will write a critical appraisal that demonstrates comprehension of two qualitative research studies.

For this assignment, use the nursing practice problem and two qualitative peer-reviewed research articles you identified in Topic 1 (or two new articles based on instructor feedback in Topic 1). In a 1,000-1,250-word essay, summarize two qualitative studies.

Use the “Research Critique Guidelines – Part I” 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.