Quantitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the \”Research Critique Guidelines – Part II\” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. I will provide he topic 1 assignment and research guidelines for reference Quantitative Research Critique and Ethical Considerations

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Quantitative Research Critique and Ethical Considerations

Background

Allgeranzi, et al, (2018) and hong, et al, (2015) are articles that p[resents the results of two quantitative studies that focus on the prevention of hospital acquired infections. Hong, et al, (2015) presents a study to assess hang hygiene compliance among healthcare workers in the intensive care unit ICU. The study aimed at evaluating the presence and procedures and protocols for infection control, assessing the adhesion to different aspects of hand hygiene and handwashing technique by the healthcare workers at the ICU. The research was conducted at six intensive care units through an observational study. During the study, the care providers were assessed on their standard precautions, hand hygiene practices, and the presence of procedures and written protocols. After the study, the researcher reported that of all the involved ICUs, 73 out of 142 showed the required protocols and procedures. 59 out of 79 had the general measure of risk control, 12 out of 15 were for hand hygiene while 24 out of 48 showed standard precautions and isolation measures. And the overall compliance rate was between 3% and 100%. There were low levels of adherence to hygiene practices in the ICU. Therefore, multidisciplinary intervention would be appropriate in implementing strategies that would curb infection control in the ICU to reduce the risk of hospital acquired infections HAIs.Quantitative Research Critique and Ethical Considerations

Allgeranzi, et al, (2018) present the results of a study of implementing combined infection prevention and control with anti-microbial stewardship joint program to prevent cesarean site surgical site infection and anti-microbial resistance. The author of this article describes that surgical site infections are the most common cause of hospital-acquired infections that have high mortality and morbidity rate. The study aimed to assess the impact of the implementation of the combined IPC with AMS joint program on the prevalence of CS associated surgical site infections. The study was conducted at the OGD of the DRRH that included a pre interventional study, interventional, and post-interventional. The intervention cohort study included literature-based education, on-the-job training, and the constitution of the AMS multidisciplinary team. During the study 464 and 573 women participated in the study before and after intervention respectively. The after intervention involved giving prophylactic antibiotics to 98% vs 2% of the whole population. Cesarean sections were performed by more qualified operators. The number of surgical site infections was 48% in the pre-intervention and 17% in the post-intervention. There was a low prevalence of pram positive isolated methicillin-resistant Staphylococcus aureus was detected in the post-intervention survey. In the future, the researchers need to have a better understanding of the need for a multidisciplinary approach to surgical site infection and antimicrobial resistance prevention in resource constrained settings.

How Do These Articles Support The Nurse Practice Issue That You Chose?

The nurse practice issue of concern is the potential for the increased mortality and morbidity associated with HAIs. The PICOT question is; among hospitalized patients in acute care settings does educating healthcare providers about HAIs compared to no education decrease HAI rates and increase hand hygiene compliance within 12 weeks? Nurses are the primary care providers to the hospitalized patients. Enlightening them about hospital-acquired infections would reduce the mortalities and morbidities associated with hospital-acquired infections.Quantitative Research Critique and Ethical Considerations

Hong, et al, (2015) supports the use of the multidisciplinary intervention in implementing the strategies and policies that would reduce the incidence of HAIs. The issue of concern is that the nurses are not aware of the prevention strategies of HAIs. This includes hand washing techniques and other control measures. The role of the multidisciplinary team is to identify the clinical issue and come up with prevention strategies. One of the main strategies is creating awareness on the importance of proper washing of hands before and after handling a patient in ICU to prevent cross infections. This is enforced by the provision of soap and running water in the ICU.

Allgeranzi, et al, (2018) presents similar sentiments on creating awareness on the causes of HAIs. The article describes that a multidisciplinary team should set the preventive strategies that would reduce the incidences of surgical site infections and the risk of resistant microbes at the surgical site. The team ensured that the care providers underwent training on the prevention strategies which are pre-intervention, interventional, and post interventional care. The surgeons were efficiently trained on the aseptic methods during operation. Nurses were advised on giving prophylactic antibiotics post-CS. Based on the two articles, HAIs can be reduced by engaging the multidisciplinary team that provides intervention strategies and educative measures, and statistical data targeted on the improvement areas. The two articles lay the background for the need of educating nurses to reduce the incidence of HAIs.

Method of Study

The two articles adopted a quantitative study approach. Hong, et al, (2015) used a pre and post cohort study in five hospitals using a multimodal intervention to strengthen and implement several measures to prevent SSIs together with an adaptive approach of improving teamwork. The survey was conducted for three months involving over 1000 women who underwent cesarean section. The results presented that post-intervention infection was low at 17% while the pre-intervention was high at 48%. In contrast Allgeranzi, et al, (2018) used a Vanderbilt Institutional Review Board to review the study protocol and in the design phase, the researchers identified several goals, assumptions, and constraints of implementation. The study involved the care provides that worked at the ICU. It was able to trace 97% compliance incidence and 100% non-compliant incidences.

Result of the Study

According to Hong, et al, (2015), the focus of the study was based on the ICU because of the specific risk profile of the patients in those units. Of note was that there were weak precautions and isolation measures on the infection control system. Hygienic adherence practices were highly variable from 3% to 100%. The majority of the ICU did not have the procedures and protocols to improve the infection control system. The results suggest that orienting the efforts of ICU towards a system of continuous monitoring to increase compliance and best practice.Quantitative Research Critique and Ethical Considerations

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Allgeranzi, et al, (2018) discussed the outcome of the use of pre-interventional, interventional, and post-interventional practices in the prevention of surgical site infection. The post-interventional group reported very low incidences of SSI because of the administered prophylactic antibiotics. Provision of the pre-operation prophylaxis prevented the occurrence of bacterial infections intra-operative. It also saves on the cost of treatment post-operative and reduced the length of post-discharge antibiotics.

Outcome Comparison

Based on the results from Hong, et al, (2015) and Allgeranzi, et al, (2018) it is anticipated that implementing prevention of HAI will reduce the number of cases. The multidisciplinary team is resourceful in this situation to sensitize the healthcare professionals especially the nurses on how to prevent hospital-acquired infections in critical patients. the two articles match the anticipated study of nursing education towards reducing the incidence of hospital-acquired infections.

References

Allegranzi, B., Aiken, A., Zeynep K., Nthumba, P., Barasa, J., Okumu, G., Mugarura, R., Elobu, A., Jombwe, J., Maimbo, M., Musowoya, J., Gayet-Ageron, A., Berenholtz, S. (2018). Multimodal infection control and patient safety intervention to reduce surgical site infections in Africa: a multicentre, before-after, cohort study.Lancet Infectious Diseases. Retrieved from http://dx.doi.org.lopes.idm.oclc.org/10.1016/S1473-3099(18)30107-5

Hong, T., Bush, E., Hauenstein, M., Lafontant, A., Li, C., Wanderer, J., Ehrenfeld, J. (2015). A Hand Hygiene Compliance Check System: Brief Communication on a System to Improve Hand Hygiene Compliance in Hospitals and Reduce Infection. Journal of Medicine Systems. Retrieved from https://eds-b-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=818e31dd-f7fe-4a6e-8f6f-0b0e214793d3%40pdc-v-sessmgr05

Research Critique Guidelines – Part II

Quantitative Studies

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.Quantitative Research Critique and Ethical Considerations

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two 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 Study:

1. State the methods of the two articles you are comparing and describe how they are different.
2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies you chose in nursing practice?

Outcomes Comparison

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

Quantitative Research Critique and Ethical Considerations