Nosocomial Infections: Critiquing a Research Article Discussion

Does the title describe the article accurately?

The article’s title is “The Effect of Interventional Program Underpinned by Health Belief Model on Awareness, attitude, and Performance of Nurses in Preventing Nosocomial Infections: A Randomized Controlled Trial Study.” This title is attractive to the reader since it is brief and clear. Moreover, it is informative since it describes the article entirely and accurately. The title gives all the significant concepts of the article. For instance, it indicates the dependent variable (Nurses’ attitude, awareness, and performance) and the independent variable (Interventional program) being examined in the study. The title also states that the authors gathered data by conducting a randomized controlled trial (RCT). Nosocomial Infections: Critiquing a Research Article Discussion

Does the abstract represent the article?

            The abstract presents a brief overview of the entire article. First, the abstract states that the study intended to evaluate the impact of an interventional program on nurses’ attitudes, awareness, and performance in the prevention of nosocomial infections. Secondly, the abstract discusses the study’s methodology. The authors conducted an RCT involving 60 clinical nurses working in Lar, Iran. Additionally, the sampling method, the simple random sampling technique, was included in the abstract. It states that 30 participants were assigned to the experimental and control groups. The data collection tool and questionnaire were also mentioned in the abstract. Moreover, the abstract states that the research intervention involved 90-minute sessions that were conducted five times based on the health belief model (HBM). Nosocomial Infections: Critiquing a Research Article Discussion

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Furthermore, the abstract includes results based on data analysis. The results indicated a significant statistical difference in the two groups based on data collected immediately and two months following the intervention. Lastly, the abstract includes a brief conclusion of the study. It states that the HBM-based intervention effectively enhanced the attitude, knowledge, and performance of clinical nurses in preventing NI.

Does the introduction give a clear purpose for the article?

            The study’s introduction is effective since it includes a statement of the problem. The study was conducted following a dramatic increase in the rate of NI worldwide. Additionally, NI results in adverse health outcomes, including patient safety issues, delayed recovery process, high disability and mortality rates, and increased treatment costs. Furthermore, the introduction includes the study’s rationale. The study was triggered by the critical role of clinical nurses in preventing and treating NI in the inpatient unit. Nosocomial Infections: Critiquing a Research Article Discussion Therefore, the study was the best way of assessing whether improving performance, attitude, and awareness among nurses would prevent NI in the medical facility. Moreover, the introduction captures the hypothesis tested in the study. The authors evaluated the effectiveness of HBM-based intervention in improving nurses’ attitudes, awareness, and performance in NI prevention. Lastly, anticipated results were included in the introduction. The proposed intervention would effectively enhance nurses’ ability to prevent NI in the medical facility. As a result, the intervention would be implemented in clinical settings as an effective NI prevention and reduction program. Nosocomial Infections: Critiquing a Research Article Discussion

Is the literature review comprehensive and relevant to the study?

The literature review is comprehensive and provides the study’s background information. Reviewed studies indicated inadequacy of NI control knowledge among nurses. Other studies showed nurses’ negative attitudes toward NI, resulting in average or low performance in NI control. Nosocomial Infections: Critiquing a Research Article Discussion Furthermore, the literature review section includes known details regarding NI infections. Data gathered from reviewed studies indicated that NI results in adverse health outcomes, including permanent complications, high treatment costs, prolonged hospital stays, the patient’s and family’s dissatisfaction, or even death. Additionally, NI results in other health complications, including respiratory distress, resulting in increased demand for mechanical ventilation. Lastly, the reviewed sources were highly credible. They consisted of peer-reviewed journal articles published in the last five years. Based on the previous studies, nurses’ attitudes, awareness, and performance play a significant role in reducing the high prevalence of NI in clinical settings. Therefore, reviewed data necessitates a study to assess whether implementing an HBM-based intervention would effectively enhance nurses’ attitudes, awareness, and performance in NI control.

Methodology

Nosocomial Infections: Critiquing a Research Article Discussion   The method section provides adequate details regarding how the study was conducted. It indicates that an RCT study involving an educational HBM-based program was implemented in Imam Reza Hospital in three months. These details facilitate the replication of the study. Furthermore, the selected design was appropriate for the study. The researchers presented an educational HBM-based intervention to the participants in the conference hall. The prevalence of NI and preventive measures were discussed during the education sessions. Lastly, the sample population was appropriate for this study. Sixty (60) clinical nurses working at Imam Reza Hospital were randomly and equally assigned to the control and experimental groups. The participants were included in the study upon meeting the three inclusion criteria: Working as a clinical nurse in the selected hospital, holding a bachelor’s degree in nursing, and being willing to participate. This sample population was adequate to gather reliable and valid data. Nosocomial Infections: Critiquing a Research Article Discussion

Data Collection Criteria

Every step of the intervention implementation was included in the study. A two-section questionnaire was used to collect data from the participants. The first part consisted of the demographic information of the participants. The second part of the questionnaire evaluated nurses’ attitudes, knowledge, and performance in NI prevention. The results were clearly summarized in figures and tables. The first flow chart depicts participants’ enrolment, allocation to the control or intervention group, follow-up, and analysis. A table summarizing participants’ demographic information was also included in the study. The second table summarizes the variables being studied, including awareness, performance, and attitude. Lastly, Tables 3 and 4 compared mean score changes in the three dependent variables, including attitude, knowledge, and performance. Nosocomial Infections: Critiquing a Research Article Discussion

The study’s limitations and their implications

The most significant limitation involves training session interference due to the clinical nurses’ professional activities. Additionally, training sessions used in implementing the HBM program were limited, compromising the research team’s initial implementation design. Therefore, an equal number of training hours implemented in a clinical setting might need to be more effective in improving nurses’ attitudes, awareness, and performance in infection prevention. Additionally, the HBM program was implemented in a single medical facility, Imam Reza Hospital, located at Larestan. Consequently, the generalizability of results to healthcare organizations located in other parts of the world is limited. Nosocomial Infections: Critiquing a Research Article Discussion

The effectiveness of the discussion in explaining the results with respect to other aspects of the study

The discussion indicated that the study aimed to evaluate the impact of the HBM-based educational program on clinical nurses’ attitudes, awareness, and performance in NI prevention at Imam Reza Hospital. The study was necessitated by the increased prevalence of NI and related adverse outcomes, such as increased cost of care and prolonged hospital stay in various clinical settings worldwide. The HBM-based educational program is perceived as a significant theoretical model for enhancing nurses’ understanding of NI exposure risk. Analysis of the results indicated significant improvement in nurses’ awareness immediately after the implementation of the HBM program. Therefore, the discussion effectively explains the results based on the theoretical framework, research question, and significance of the study. Nosocomial Infections: Critiquing a Research Article Discussion

References

Hosseinpour, M., Akbar, R. E., Jahromi, M. F., & Badiyepeymaiejahromi, Z. (2023). The effect of interventional program underpinned by health belief model on awareness, attitude, and performance of nurses in preventing nosocomial infections: A randomized controlled trial study. Investigación y Educación en Enfermería, 41(3). DOI:10.17533/udea.iee.v41n3e10

Please critique this article using the upload page as a guide. It does not have to be 2 pages, just as long as all the information is on there. Directions are…summarize the article using the guidelines on page 80 in your textbook.
Then:. summarize the article using the guidelines on page 80 in your textbook. (included in the upload file under IMG 4190. Thank you very much! Nosocomial Infections: Critiquing a Research Article Discussion

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